Jose A. Stoute

All articles by Jose A. Stoute

Chagas Disease (American Trypanosomiasis)

Are You Confident of the Diagnosis? Chagas disease can be divided into acute and chronic phases. The vector tends to feed on blood from the mucous membranes of the eye or the mouth. During feeding it defecates. Infection takes place by rubbing the insect feces that contain the trypomastigotes in to the wound or mucous…

Gonococcemia (Disseminated Gonococcal Infection)

Are You Confident of the Diagnosis? Characteristic findings on physical examination There are two recognizable syndromes that may overlap. In classic disseminated gonococcal infection (DGI), the patient presents with the triad of skin lesions, polyarthralgias, and tenosynovitis. Most patients are febrile and bacteremic. The skin lesions can be macular, maculopapular, or pustular (Figure 1). They…

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