Andrew J. Peranteau

Are You Confident of the Diagnosis? Symptomatic infection with human cytomegalovirus (CMV) may occur in the newborn or in immunocompromised individuals, including those infected with HIV/AIDS, hematopoietic stem cell transplant (HSCT) recipients, and organ transplant recipients. Symptoms of infection with CMV in such populations are extremely variable. Immunocompetent individuals rarely exhibit any symptoms of disease…

Chromoblastomycosis ICD-10-CM B43.9 Are You Confident of the Diagnosis? What you should be alert for in the history A history of transcutaneous trauma with organic matter, such as rotting wood and soil, as well as plant thorns and debris is typical. Occupation often plays a role, with the majority of lesions observed on the extremities…

Are You Confident of the Diagnosis? What you should be alert for in the history Varicella usually begins as a prodrome of mild fever, malaise and myalgia. Other prodromal symptoms may include pharyngitis, irritability and anorexia. This tends to be more pronounced in adolescents and adults than in children who may have no prodrome. The…

Are You Confident of the Diagnosis? What you should be alert for in the history A history of prodrome with acute stinging, itching, burning, paresthesias, and hyperesthesia in a single dermatome is characteristic of herpes zoster. Patients may also complain of constitutional symptoms (headache, malaise, fever). Typically, pain begins and a unilateral rash of erythematous…