现化感染疾病诊断与治疗 英文版PDF|Epub|txt|kindle电子书版本网盘下载

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1.Introduction[Merie A. Sande],MD1

I.BASIC PRINCIPLES3

2.Basic Principles of Host Defense[Donald L. Granger],MD3

Innate Host Defenses4

Defense Mechanisms at the Physiologic Level4

Innate Defense Mechanisms at the Cellular Level5

Defense Mechanisms at the Level of Protein Molecules10

Humoral Immunity11

Adaptive Immune Responses11

Cell-Mediated Immunity15

Authors15

Preface20

3.Basic Principles of Microbial Virulence[David A. Relman],MD20

Microorganisms as Pathogens20

Regulation of Virulence22

Adherence Colonization22

Toxins24

Entry Into Life within Host Cells24

Manipulation or Avoidance of the Host Immune Response25

Transmission Life Outside the Mammalian Host26

Etiologic Agent Susceptibility Testing28

4.General Principles of Antimicrobial Therapy[Walter R. Wilson],MD28

Dosage Route of Administration29

Underlying Host Factors30

Monitoring the Response to Antimicrobial Therapy32

5.Infection Prevention in Healthcare Settings[Cathryn Louise Murphy],RN,PhD,CIC,[Susan A. Resnik,] RN,Dip IC,CIC(Syd), [Julie Louise Gerberding],MD,MPH33

Role of the Infection Control Practitioner33

The Infection Control Committee34

Infection Control Policies Procedures34

Role of the Healthcare Epidemiologist34

Infection Monitoring Prevention35

Patient Isolaion35

Preventing Antimicrobial-Agent-Resistant Infections36

Hand Hygiene36

Asepsis38

Occupational Health Issues39

Infectious Conditions of Concern39

Blood-Borne Pathogens39

Vaccine-Preventable Diseases40

Tuberculosis40

New Emerging Agents41

6.Laboratory Diagnosis[W. Lawrence Drew],MD,PhD,[Franklin R. Cockerill,III],MD, [Nancy K. Henry],PhD,MD43

Diagnosis of Bacterial, Fungal, Parasitic Infections43

Rapid, Direct Test Methods Culture-Based Methods51

Serologic Test Methods55

Molecular Test Methods55

Susceptibility Testing of Bacterial Fungal Isolates to Antimicrobial Agents55

Cytology57

Diagnosis of Viral Infections57

Culture-Based Methods57

Serologic Test Methods61

Detection of Viral Antigens61

Molecular Test Methods63

II. CLINICAL SYNDROMES65

7. Infections of the Central Nervous System[Zell A. McGee],MD65

Acute Bacterial Meningitis65

Aseptic Meningitis Syndrome73

Infectious Disorders With Dementia as a Dominant Feature76

Infections Presenting as Spinal Cord Syndromes77

Infections Presenting as Stroke Syndromes77

Infectious Disorders with Focal Disturbances as a Dominant Feature78

Infectious Disorders Involving Cranial Nerves82

Infectious Disorders with Dysphagia Dysarthria as Dominant Features82

Chalazion85

Blepharitis85

Preseptal Cellulitis85

Hordeolum85

Eyelid Infection85

8.Infections of the Eye Orbit[Marlene L. Durand],MD85

The Tear Film86

Lacrimal System Infections86

Dacryocystitis87

Canaliculitis87

Dacryoadenitis87

Orbital Infections87

Conjunctivitis89

Subperiosteal Abscess89

Cavemous Sinus Thrombosis89

Orbital Abscess89

Orbital Cellulitis89

Hyperacute Conjunctivitis90

Acute Conjunctivitis90

Chronic Conjunctivitis91

Keratitis (Comeal Ulcer)92

Bacterial Keratitis92

Fungal Keratitis93

Parasitic Keratitis93

Viral Keratitis93

Interstitial Keratitis93

Endophthalmitis94

Postcataract Endophthalmitis94

Bleb-Related Endophthalmitis94

Post-Traumatic Endophthalmitis94

Endogenous Endophthalmitis94

Cytomegalovirus96

Tuberculosis96

Syphilis96

Candida Species96

Toxoplasma96

Posterior Uveitis96

Anterior Uveitis96

Uveitis Retinitis96

9.Upper Respiratory Tract Infections［Abinash Virk］,MD ［Nancy K.Henry］，PhD，MD98

The Common Cold98

Pharyngitis100

Acute Laryngitis103

Acute laryngotracheobronchitis (Croup)104

Acute Epiglottitis106

Otitis Media108

Otitis Externa112

Acute Chronic Sinusitis113

10.Tracheobronchitis Lower Respiratory Tract Infections [Abinash Virk], MD [Walter R. Wilson], MD118

Acute Bronchitis118

Chronic Bronchitis Acute Exacerbations121

Bronchiolitis125

Pneumonia128

Parapneumonic Effusion Pleural Empyema144

Lung Abscess148

11.Infective Endocarditis [James M. Steckelberg], MD [Walter R. Wilson], MD155

12.Intra-Abdominal Infections[Jeffery S. Loutit], MB, ChB164

Abdominal Pain164

Clinical Syndromes165

Peritonitis165

Intraperitoneal Abscess171

Caecitis(Typhlitis)175

Acute Cholecystitis175

Appendicitis175

Cholangitis176

13.Skin Soft-Tissue Infections[Mark P. Wilhelm],MD,FACP [Randall S. Edson],MD,FACP177

The Pyodermas177

Impetigo177

Erysipelas179

Ecthyma179

Cellulitis181

Cutaneous Abscesses182

Furuncles Carbuncles182

Necrotizing Soft-Tissue Infections183

Folliculitis183

Clostridial Myonecrosis(Gas Gangrene)184

Necrotizing Fasciitis185

Progressive Bacterial Synergistic Gangrene186

Anaerobic Cellulitis186

Infections Associated with Human or Animal Bites187

Diabetic Foot Infections187

14.Osteomyelitis, Infectious Arthritis Prosthetic-Joint Infection[Douglas R. Osmon],MD [James M. Steckelberg],MD191

Osteomyelitis191

Infectious Arthritis197

Prosthetic-Joint Infection199

15.Sexually Transmitted Diseases[John W. Wilson],MD [Nancy K. Henry], MD, PhD203

Urethritis203

Cervicitis207

Vulvovaginitis208

Genital Ulcer Disease212

Other Sexually Transmitted Diseases215

Skin Mucous Membrane Diseases215

Pelvic Inflammatory Disease215

Epididymitis215

Proctitis215

Community-Acquired Urinary Tract Infections220

16.Urinary Tract Infections[Walter R. Wilson],MD [Nancy K. Henry], PhD, MD220

Nosocomially Acquired Urinary Tract Infections227

17.Sepsis Syndrome[Andrew D. Badley],MD [James M. Steckelberg],MD231

18.Fever of Unknown Origin[Julie Brahmer],MD [Merle A. Sande],MD240

19.Fever Rash[Peter K. Lindenauer],MD MSc [Merle A. Sande],MD247

Patient History247

Season Geographic Setting249

Special Populations249

20.Infectious Diarrhea[William P. Ciesla, Jr.],MD [Richard L. Guerrant],MD255

21.Hepatobiliary Infections[Paul B. Eckburg],MD [Jose G. Montoya],MD269

Infections of the Liver271

Acute Viral Hepatitis271

Chronic Viral Hepatitis273

Granulomatous Hepatitis275

Hepatic Abscess276

Liver Infections in Patients with HIV279

Infections of the Biliary Tract280

Acute Calculous Cholecystitis280

Acute Acalculous Cholecystitis281

Acute Cholangitis282

Sclerosing Cholangitis284

Recurrent Pyogenic Cholangitis284

AIDS-Related Cholangitis285

22.Obstetric Gynecologic Infections[Yenijean S. Hwang],MD [Merle A. Sande],MD287

Gynecologic Infections287

Vulvovaginitis287

Cervicitis289

Pelvic Inflammatory Disease292

Infections after Gynecologic Surgery295

Chorioamnionitis296

Intrapartum Postpartum Infections296

Postpartum Endometritis297

Puerperal Ovarian Vein Thrombophlebitis(POVT)299

Episiotomy Infections301

Septic Abortion302

Infections of Special Concern During Pregnancy303

Group B Streptococcus(GBS)303

Teratogenic Infections Other Infections of Concern in Pregnancy305

Syphilis in Pregnancy305

Toxoplasmosis in Pregnancy307

Cytomegalovirus in Pregnancy308

Rubella in Pregnancy309

Varicella Infection During Pregnancy310

Herpes Simplex Virus Infections in Pregnancy310

Human Papillomavirus in Pregnancy311

Measles, Mumps, Parvovirus Infection in Pregnancy311

III.SPECLAL PATIENT POPULATIONS315

23.Patients With AIDS[Dani-Margot Zavasky],MD,[Julie L. Gerberding],MD,MPH [Merie A. Sande],MD315

Predictors Of Disease Progression316

Clinical Syndromes317

24.Infections In Transplant Recipients[Robin Patel],MD328

Bacterial Infections331

Common Bacterial Infections331

Legionella Species333

Nocardia Species333

Salmonella Species333

Listeria Monocytogenes333

Viral Infections336

Cytomegalovirus336

Varicella Zoster Virus339

Herpes Simplex Virus339

Epstein Barr Virus*340

Other Viruses341

Fungal Infections341

Pneumocystic Carinii341

Candida Species342

Cryptococcus Neoformans342

Mycelial Fungi342

Mycobacterial Infections343

Mycobacterium Tuberculosis343

Toxoplasma Gondii344

Strongyloides Stercoralis344

Nontuberculous Mycobacteria344

Trypanosoma Cruzi344

Parasitic Infections344

25.Patients with Neutropenia Fever[David Dockrell],MD [Linda L. Lewis],MD347

26.Patients with Recurrent Infections Leukocyte Abnormalities[Timothy R. La Pine],MD [Harry R. Hill],MD356

T-Lymphocyte Defects356

Severe Combined Immunodeficiency359

Wiskott-Aldrich Syndrome360

Purine-Nucleoside Phosphorylase Deficiency360

DiGeorge Syndrome360

Ataxia-Telangiectasia361

B-Lymphocyte Defects361

Bruton s Agammaglobulinemia362

X-Linked Hypogammaglobulinemia with Normal to Increased IgM Concentrations362

Selective IgA Deficiency363

Common Variable Immunodeficiency363

Defects in the Phagocytic System Its Related Immunodeficiency Syndromes363

Leukocyte Adhesion Deficiency364

Chronic Granulomatous Disease365

Job s Syndrome365

Chediak-Higashi Syndrome366

The Complement System Its Related Defects367

Deficiency of Cl Complex C4368

Deficiency of C2368

Deficiency of C3368

Deficiency of C5-C9368

Properdin Deficiency368

27.Enterovlruses[W.Lawrence Drew],MD,PhD371

IV. VIRAL INFECTIONS371

Clinical Syndromes373

Poliovirus Infections373

Coxsackievirus Echovirus Infections373

28.Rhinoviruses[W. Lawrance Drew],MD,PhD377

Rhinovirus Infection377

29.Infiuenza[Lisa Danzig],MD [Keiji Fukuda],MD,MPH380

Influenza Infection381

Acute Laryngotracheobronchitis(Croup)388

Clinical Syndromes388

30.Parainfluenza Virus[Gregory Sonnen],MD [Nancy Henry],MD,PhD388

Bronchiolitis389

Pneumonia390

31.Respiratory Syncytial Virus[Gregory Sonnen],MD [Nancy Henry],MD,PhD392

Clinical Syndromes392

Bronchiolitis392

Pneumonia393

32.Adenoviruses[W. Lawrence Drew],MD,PhD396

Acute Gastroenteritis397

Conjunctivitis397

Acute Respiratory Disease397

Clinical Syndromes397

Acute Hemorrhagic Cystitis398

Systemic Infection in Immunocompromised Patients398

33.Herpesviruses[W. Lawrence Drew],MD,PhD400

Herpes Simplex Virus400

Varicella-Zoster Virus404

Cytomegalovirus406

Epstein-Barr Virus408

Human Herpesvirus Type6410

Other Herpesviruses411

34.Measles[Gregory Sonnen],MD [Nancy Henry],MD,PhD*413++Clinical Syndromes Clinical Syndromes413

Typical Measles413

Modified Measles415

Atypical Measles416

35.Mumps[Gregory Sonnen],MD [Nancy Henry],MD,PhD418

36.Rubella[Gregory Sonnen],MD [Nancy Henry],MD,PhD421

Postnatally Acquired Rubella421

Congenital Rubella Syndrome422

37.Rotavirus[Gregory Sonnen],MD [Nancy Henry],MD,PhD426

38.Other Gastrointestinal Vlruses[W. Lawrence Drew],MD,PhD429

Human Enteric Caliciviruses:Norwalk Related Viruses429

Astroviruses430

Adenovirus430

39.Hepatitis[W. Lawrence Drew],MD, PhD431

Hepatitis A431

Hepatitis B434

Hepatitis D (Delta Hepatitis)438

Hepatitis C439

Hepatitis E440

Hepatitis G441

40.HIV Other Retroviruses[W. Lawrence Drew],MD,PhD442

Virology of the Retroviruses442

Oncoviruses(HTLV-I)447

41.Poxviruses[W. Lawrence Drew], MD, PhD448

Clinical Syndromes448

Molluscum Contagiosum448

Zoonotic Poxviruses449

42.Parvoviruses[W. Lawrence Drew],MD, PhD451

Erythema Infectiosum451

Aplastic Crisis452

43.Viral Infection of the Central Nervous System[W. Lawrence Drew],MD,PhD453

Arthropod-Borne Viral Encephalitis453

Lymphocytic Choriomeningitis(LCM)456

Rabies456

Nipah Virus458

Progressive Multifocal Leukoencephalopathy459

Diseases Caused by Unconventional Agents460

Creutzfeldt-Jakob Disease460

Kuru461

44.Miscellaneous Systemic Viral Syndromes[W. Lawrence Drew],MD, PhD463

Dengue ellow Fever463

Marburg Ebola Virus466

Hantaviruses467

Colorado Tick Fever468

Lassa Other Hemorrhagic Fever469

45.Papovaviruses[W. Lawrence Drew], MD, PhD471

Papillomaviruses471

Clinical Syndromes471

Skin Warts471

Benign Head Neck Tumors471

Anogenital Warts471

Cervical Dysplasia Neoplasia471

Papovaviruses472

Clinical Syndromes473

V.BACTERIAL INFECTIONS475

46.Staphylococci[Karen Bloch],MD, MPH475

Staphylococcus Aureus475

Clinical Syndromes477

Pyogenic Cutaneous Infections477

Nonpyogenic Skin Infections478

Toxic Shock Syndrome480

Primary Bacteremia Endocarditis481

Osteomyelitis483

Coagulase-Negative Staphylococci485

Bacteremia Endocarditis485

Urinary Tract Infections486

47.Streptococcus Pneumoniae[Jerrey N. Martin],MD,MPH489

Clinical Syndromes492

Pneumonia492

Meningitis495

Other Syndromes499

48.Streptococcus Pyogenes[Dennis L. Stevens],MD,PhD502

Clinical Syndromes504

Pharyngitis the Asymptomatic Carrier504

Scarlet Fever504

Cellulitis505

Streptococcal Pyoderma (Impetigo Contagiosa)505

Erysipelas505

Lymphangitis506

Necrotizing Fasciitis506

Myositis506

Pneumonia507

Streptococcal Toxic Shock Syndrome507

49.Enterococci[Robin Patel],MD511

Clinical Syndromes513

Urinary Tract Infection513

Bacteremia Endocarditis513

Intra-Abdominal Pelvic Infection513

Wound Soft Tissue Infection513

Meningitis513

Neonatal Sepsis513

Viridans Group Streptococci, Including Abiotrophia Defectiva Abiotrophia Adjacens518

50.Other Gram-Positive Cocci[Robin Patel],MD518

Clinical Syndromes519

Group B streptococcus(S Agalactiae)520

Clinical Syndromes521

Streptococcus Dysgalactiae Subspecies:Equisilimis Streptococcus Zooepidemicus523

Clinical Syndromes524

Streptococcus Bovis525

Clinical Syndromes525

Other Gram-Positive Cocci526

Streptococcus Iniae526

Leuconostoc Species526

Helcococcus Kunzii527

Globicatella Species527

Lactococcus Species527

Micrococcus Species527

Alloiococcus Otitis527

Gemella Species527

Aerococcus Species527

Stomatococcus Mucilaginosus527

Pediococcus Species527

51.Gram-Positive Aerobic Bacilli[Jeffrey S. Loutit],MD [David A. Relman],MD528

Listeria Monocytogenes528

Anthrax530

Other Bacillus Species532

Diphtheria533

Corynebacterium Jeikeium536

Other Corynebacterium Species536

Erysipelothrix Rhusiopathiae536

52.Neisseria Gonorrhoeae Neisseria Meningitidis[D. Scott Smith],MD [David A. Relman], MD538

Neisseria Gonorrhoeae538

Neisseria Meningitidis541

Escherichia coli548

53.Enteritis Caused by Escherichia coll Shigella Salmonella Species[Gary W. Procop],MD [Franklin Cockerill III],MD548

Clinical Syndromes553

Shigella Species556

Salmonella Species559

Enteric Fever561

Salmonella Enteritis562

54.Pseudomonas Aeruginoss[David Dockrell],MD [Walter R. Wilson],MD567

Pulmonary Infections568

Infections in Patients with Cystic Fibrosis570

Bacteremia570

Skin Soft Tissue Infections571

Urinary Tract Infection572

Ear, Nose Throat Infections572

Orthopedic Infections572

Endocarditis573

Gastrointestinal Infections574

Central Nervous System Infection574

Ophthalmologic Infection574

Infection in Patients with AIDS575

Other Pseudomonas Species of Medical Importance579

P Pseudomallei Melioidosis579

P Mallei(Glanders)579

Stenotrophomonas Maltophilia579

Burkholderia Cepacia579

55.Helicobacter Pylorl[Jay V. Solnick],MD,PhD [Javeed Siddiqui],MD,MPH581

56.Haemophilus, Bordetella, Branhamella Species[Joseph W. St. Geme III],MD587

Haemophilus Influenzae Other Haemophilus Species587

Clinical Syndromes587

Bordetella Species596

Clinical Syndromes597

Branhamella Catarrhalis600

Clinical Syndromes600

Vibrio Cholera Infections603

57.Vibrio Campylobacter[Gary W.Procop,]MD [Frank R.Cockenill IN,]MD603

Clinical Syndromes604

Other Vibrio Infections605

Clinical Syndromes607

Noncholera Gastroenteritis607

Extraintestinal Disease608

Campylobacter Infections609

Campylobacter Enteritis611

Extraintestinal Campylobacteriosis612

58.Legionella[Michael Bell],MD614

Clinical Syndromes615

59.Important Anaerobes[Jorge Villacian],MD [James Steckelberg],MD620

Clinical Syndromes621

Head Neck621

Central Nervous System623

Respiratory Tract623

Intra-Abdominal624

Female Genital Tract624

Osteomyelitis625

Bacteremia625

Toxin-Mediated Infections625

Skin, Soft Tissue, Bone Infections625

60.Brucella, Francisella, Pasteurella, Yersinia, and HACEK[Elie F. Berbari],MD [Walter R. Wilson],MD630

Brucellosis630

Tularemia632

Plague635

Yersiniosis637

Pasteurella639

HACEK Infection641

61.Tuberculosis[Julie Brahmer],MD [Merle A. Sande],MD644

Clinical Syndromes645

Pulmonary Tuberculosis645

Extrapulmonary Tuberculosis646

Tuberculosis in Patients with HIV Infection646

62.Other Mycobacteria[Julie Brahmer],MD,[Yenjean Hwang],MD [Merle A. Sande],MD653

Clinical Syndromes653

Mycobacterium Avium Complex(Disseminated Pulmonary Disease)653

Mycobacterium Leprae(Leprosy)655

Mycobacterium Kansasii(Chronic Pulmonary Infection)656

Mycobacterium Scrofulaceum(Lymphadenitis)657

Mycobacterium Bovis(Tuberculosis in Animals)657

Mycobacterium Marinum(Classic Fish Tank Granuloma)657

63.Actinomycetes[Phyllis C. Tien],SM MD, [David A. Relman],MD662

Nocardia662

Actinomyces665

Other Actinomycetes667

64.Treponema Pallidum[Fred A. Lopez],MD [David A. Relman],MD669

Primary Syphilis670

Secondary Syphilis672

Latent Syphilis673

Late Syphilis673

Congenital Syphilis674

Borrelia Species680

Relapsing Fever680

65.Borrelia Leptospira Species[Sandra Chaparro], MD [Jose G. Montoya],MD680

Lyme Disease682

Leptospira Species686

66.Mycoplasma Ureaplasma[Jose G. Montoya],MD690

M Pneumoniae Infection Disease690

Infections Caused by U Urealyticum Other Mycoplasmas693

67.Chlamydia[Jose G. Montoya],MD694

C Trachomatis Infections695

C Psittaci Infections699

C Pneumoniae Infections700

68.Coxiella, Ehrlichia, Rickettsia[Jeffery S. Loutit],MD703

Coxiella Burnetii Infection(Q Fever)703

Ehrlichia Infection(Ehrlichiosis)705

Rickettsial Infections708

Rocky Mountain Spotted Fever708

Rickettsialpox710

Epidemic(Louse-Borne)Typhus711

Endemic(Murine)Typhus711

Scrub Typhus711

Other Spotted Fevers711

69.Bartonella[Phyllis C. Tlen],MD [Jeffery S. Loutit],MB Chb713

Clinical Syndromes713

Bacillary Angiomatosis715

B Bacilliformis-Associated Disease716

Fever Bacteremia/Trench Fever/Endocarditis716

Cat Scratch Disease716

Clinical Syndromes721

70.Histoplasma Capsulatum[Zelaiem Temesgen],MD721

Pulmonary Infections721

VI.FUNGAL INFECTIONS721

Disseminated Histoplasmosis722

Histoplasmosis in AIDS723

Clinieal Syndromes726

Pulmonary Infection726

71.Blastomyces Dermatitidis [Zelalem Temesgen],MD726

Extrapulmonary Infection727

Blastomycosis AIDS728

Btastomycosis in Other Immunoeompromised Hosts728

72.Coccidiodes [Caroline Milne],MD [Merte A.Sande],*MD731

73.Candida Species [Christopher R. Fox],MD [Merle A. Sande],MD734

Cundida Dermatitis735

Oral Candidiasis735

Clinical Syndromes735

Esophagcal Candidiasis738

Candida Vulvovaginitis738

Candiduria,Cundida Cystitis Urinary Tract Candidiasis740

Candidemia Disseminated Candidiasis740

Candida Endocarditis742

Cl Candidiasis(Nonesophagedl)742

Other Candida Syndromes743

74.Cryptococus Neoformans [James.J Chamberlain],MD [Donald L.Granger],MD745

75.Aspergillus, Pseudallescheria, Agents of Mucormycosis[Michael R. Keating],MD751

Aspergillus Infection751

Clinical Syndromes752

Pseudallescheria Boydii Infection759

Mucormycosis760

Clinical Syndromes761

Cutaneous Sporotrichosis764

Clinical Syndromes764

Extracutaneous Sporotrichosis764

76.Sporothrix Schenckii[Zelalem Temesgen],MD764

Disseminated Sporotrichosis765

77.Fusarium, Penicillium, Paracoccidioides, Agents of Chromomycosis[Michael R. Keating],MD768

Fusarium Infection768

Penicillium Infection770

Paracoccidioidomycosis772

Chromomycosis774

78.Dermatophytes[D. Scott Smith],MS,MD [David A. Relman],MD777

79.Pneumocystic Carinii[James J. Chamberlain],MD [Kristen Ries],MD785

P Carinii Pneumonia786

Extrapulmonary P Carinii Infections786

Clinical Syndromes786

80.Malaria Babesia[Gary W. Procop],MD [David H. Persing],MD,PhD793

Plasmodium Species793

VII.PARASITIC INFECTIONS793

P Falciparum Malaria797

Nonfalciparum Malaria(P Vivax, P Ovale, P Malariae)798

Babesia Species803

81.Toxoplasma Gondii[Jose G. Montoya],MD807

Entamoeba Histolytica Entamoeba Dispar817

Clinical Syndromes817

82.Pathogenic Amebas[Christopher R. Fox],MD [Merle A. Sande],MD817

Intestinal Disease818

Amebic Liver Abscess819

Acanthamoeba Infection822

Naegleria Fowleri Infection822

Pathogenic Free-Living Amebas822

83.Cryptosporidium, Cyclospora, Isospora Species Microsporidia[Stephanie Boade Silas],MD [DeVon C. Hale],MD824

Cryptosporidium824

Clinical Syndromes825

Cyclospora828

Isospora830

Microsporidia831

Clinical Syndromes in Non-HIV--Infected Patients832

Clinical Syndromes in HIV-Infected Patients833

84.Glardia[Stephanie Boade Silas],MD [DeVon C. Hale],MD836

Clinical Syndromes838

85.Leishmania Trypanosoma[D. Scott Smith],MD [David A. Relman],MD842

Leishmania842

Trypanosoma847

American Trypanosomiasis(Chagas Disease)847

African Trypanosomiasis849

Intestinal Nematode Infections855

86.Nematodes[James M. Steckelberg],MD [Walter R. Wilson],MD855

Ascariasis855

B.HELMINTHS855

Enterobiasis856

Ancylostomiasis and Necatoriasis856

Strongyloidiasis857

Tissue Nematode Infections858

Lymphatic Filariasis858

Trichuriasis858

Other Filarial Infections859

Other Tissue Nematode Infections860

87.Cestodes[Andrew D. Badley],MD, [James M. Steckelberg],MD [Walter R. Wilson],MD863

Diphyllobothrium Latum Infection863

Taenia Solium Infection864

Cysticercosis(Cysticercus Cellulosea Infection)866

Taenia Saginata Infection867

Hymenolepis Nana Infection868

Hymenolepis Diminuata869

Dipylidium Caninum Infection869

Echinococcal Infection870

Clinical Syndromes872

Blood Fluke Infection(Schistosomiasis)872

88.Trematodes[Walter R. Wilson], MD [James M. Steckelberg],MD872

Liver Fluke Infections(Clonorchiasis, Opisthorchiasis, Fascioliasis)875

Intestinal Fluke Infection(Fasciolopsiasis)876

Lung Fluke Infection(Paragonimiasis)876

89.Infections in Travelers[DeVon C. Hale],MD [Caroline Milne],MD877

Pretravel Evaluation877

VIII.MISCELLANEOUS INFECTIONS877

Diseases Requiring Special Attention884

90.Zoonotic Infections[D. Scott Smith],MD and [David A. Relman],MD891

91.Ectoparasltic Infestations Arthropod Stings Bites[Walter R. Wilson],MD [James M. Steckelberg],MD899

Ectoparasitic Infestation899

Arthropod Stings Bites903

Index906

Vibrio Infections6030