Epistemis

Infectology: Special Situations | Advanced Medical Reference Manual

Internal Medicine · Clinical Specialties

How it begins

An advanced reference guide for the clinical, diagnostic, and pharmacotherapeutic management of infections in immunocompromised patients, transplant recipients, patients with advanced HIV, and special clinical situations (pregnancy, cirrhosis, renal dysfunction, asplenia, and difficult-to-control sepsis).

What it covers

  1. Pathophysiology of Immunocompromize and Infectious Susceptibility
  2. · Physiopathological Classification of Immunodeficiencies
  3. Risk Stratification, Definitions and Microbiology
  4. · Operational Definition
  5. Therapeutic Strategy, Escalation and Management of Fungal Infections
  6. · First Line Empirical Antibiotic Treatment
  7. · Persistence of Fever: Approach on Day +4 to +7
  8. Chronology of Post-Transplant Infection
  9. · Infection Risk Timeline
  10. High Impact Opportunistic Infections: CMV, EBV and BK Nephropathy
  11. · Cytomegalovirus (CMV): The Cardinal Opportunistic Pathogen
  12. · Epstein-Barr Virus (EBV) and Post-Transplant Lymphoproliferative Disorder (PTLD)
  13. Hematopoietic Stem Transplantation (HSCT)
  14. · Physiopathological Differences: Allogeneic vs. Autologous
  15. Infections Associated with Biological Therapies and Small Molecules
  16. · Key Drugs and Their Specific Infectious Risk
  17. Advanced immunosuppression, Viral Load Management and Clinical Infections
  18. · The Patient with HIV and CD4 Count 200 cells/µL
  19. Opportunistic Infections of the Central Nervous System
  20. · Meningeal cryptococcosis (Cryptococcus neoformans)
  21. · Cerebral Toxoplasmosis (Toxoplasma gondii)
  22. Opportunistic Pulmonary Infections and Disseminated Infections
  23. · Pneumocystis jirovecii pneumonia (PCP)
  24. · Tuberculosis (TB) and Mycobacterium avium Complex (MAC)
  25. Inflammatory Immune Reconstitution Syndrome (IRIS)
  26. · Clinical Classification
  27. Immunosenescence and Infections in the Elderly
  28. · The Physiology of Immunosenescence
  29. Infections in Pregnant Patients and Antimicrobials
  30. · Antimicrobial Safety in Pregnancy
  31. Infections in Cirrhotic Patients and Liver Failure
  32. · Spontaneous Bacterial Peritonitis (SBP)
  33. Dose Adjustments in Renal Failure and Peritonitis due to Peritoneal Dialysis
  34. · Calculation of Kidney Function and Principles of PK/PD
  35. · Peritonitis in Peritoneal Dialysis (PD)
  36. Infections in the Asplenic Patient and Prevention of Fulminant Sepsis
  37. · The Immunological Role of the Spleen
  38. · Immunization Protocol for Splenectomized Patients
  39. Health Care Associated Infections (HCI) and Management of Multidrug Resistance
  40. · Critical Resistance Mechanisms in Gram Negatives
  41. Cardiovascular Device Infections and Infectious Endocarditis
  42. · Infections Associated with Cardiovascular Devices (Pacemaker, ICD)
  43. · Complex Infectious Endocarditis
  44. Infections of Central Nervous System Branches and Nosocomial Meningitis
  45. · Ventriculoperitoneal shunt infections (VPD) and external drainage (EVD)
  46. Sepsis, Septic Shock and Pathophysiology of Organ Dysfunction
  47. · Screening and Evaluation Tools: qSOFA and SOFA Scale
  48. · The First Hour Measures Package (Surviving Sepsis Campaign 2021)

The complete study guide is in the app

This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.

Subject
Internal Medicine
Category
Clinical Specialties
Type
Study Guide
Sections
48
Reviewed
2026-08-02
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