General Practitioner Liabilities

Chapter
Part of the Emerging Infectious Diseases of the 21st Century book series (EIDC)

Abstract

A 25-year-old male presented to his family physician (FP) with a history of general malaise and fatigue of 6 weeks in duration. He had felt intermittently chilly on occasions and documented a low-grade fever of 38°C once or twice. The patient’s past medical history was not significant, and the physician’s note provided no details of the physical examination. Routine complete blood count and biochemical tests (glucose, creatinine, liver enzymes, and thyroid stimulating hormone [TSH]) were performed, and were normal except for a mild normocytic anemia of 105 g/L. The young man was therefore referred to a hematologist without any further investigations.

Keywords

Arthritis Hepatitis Lymphoma Income Tuberculosis 

References

  1. 1.
    Hoen B, Alla F, Selton-Suty C, Béguinot I, Bouvet A, Briançon S, Casalta JP, Danchin N, Delahaye F, Etienne J, Le Moing V, Leport C, Mainardi JL, Ruimy R, Vandenesch F; Association pour l’Etude et la Prévention de l’Endocardite Infectieuse (AEPEI) Study Group, (2002), Changing profile of infective endocarditis: results of a 1-year survey in France. JAMA. 288: 75–81.PubMedCrossRefGoogle Scholar
  2. 2.
    Fong IW, (2008), New Perspectives of Infections in cardiovascular disease. Curr. Cardiol. Rev. 5: 87–104.CrossRefGoogle Scholar
  3. 3.
    Karchmer AW, (2008), Infective endocarditis. In: Fauci AS, Braunwald E, Kasper DL, Hauser SC, Longo DL, Jameson JL, Loscalzo J (eds); Harrison’s Principles of Internal Medicine, 17th Edition, McGraw-Hill Companies, Inc., USA; p789–798.Google Scholar
  4. 4.
    Weiss G, Goodnough LT, (2005), Anemia of chronic disease. N. Engl. J. Med. 352: 1011–1023.PubMedCrossRefGoogle Scholar
  5. 5.
    Zarychanski R, Houston DS, (2008), Anemia of chronic disease: a harmful disorder or an adaptive, beneficial response? CMAJ. 179: 333–337.PubMedGoogle Scholar
  6. 6.
    Weinberg ED, (1992), Iron depletion: a defense against intracellular infection and neoplasia. Life Sci. 50: 1289–1297.PubMedCrossRefGoogle Scholar
  7. 7.
    Means RT Jr, Krantz SB, (1991), Inhibition of human erythroid colony-forming units by gamma interferon can be corrected by recombinant human erythropoietin. Blood; 78: 2564–2567.PubMedGoogle Scholar
  8. 8.
    van Iperen CE, van de Wiel A, Marx JJ, (2001), Acute event-related anaemia. Br J Haematol. 115: 739–743.PubMedCrossRefGoogle Scholar
  9. 9.
    Price MD, Chiodo CP, (2009), Foot and ankle pain. In: Finestein GS, Budd RC, Harris ED Jr, McInnes IB, Ruddy S, Sergent JS; Kelley’s Textbook of Rheumatology, 8th Edition, Saunders/Elsevier, Philadelphia, p643–650.Google Scholar
  10. 10.
    D’Maio M, Paine R, Mangine RF, Drez D, (1993), Plantar fasciitis. Sports. Med. Rehabil. Series 16: 137–142.Google Scholar
  11. 11.
    Longford CA, Gilliland BC, (2009), Periarticular disorders of the extremities. In; Fauci AS, Braunwald E, Kasper DL, Hauser SC, Longo DL, Jameson JL, Loscalzo J (eds); Harrison’s Principles of Internal Medicine, 17th Edition, McGraw-Hill Companies, Inc, USA, p2184–2186.Google Scholar
  12. 12.
    DiMarcangelo MT, Yu TC, (1997), Diagnostic imaging of heel pain and plantar fasciitis. Clin Podiatr Med Surg. 14: 281–301.PubMedGoogle Scholar
  13. 13.
    Wolgin M, Cook C, Graham C, Mauldin D, (1994), Conservative treatment of plantar heel pain: long-term follow-up. Foot Ankle Int. 15: 97–102.PubMedGoogle Scholar
  14. 14.
    Cole C, Seto C, Gazewood J, (2005), Plantar fasciitis: evidence-based review of diagnosis and therapy. Am Fam Physician. 72: 2237–2242.PubMedGoogle Scholar
  15. 15.
    Acevedo JI, Beskin JL, (1998), Complications of plantar fascia rupture associated with corticosteroid injection. Foot Ankle Int. 19: 91–97.PubMedGoogle Scholar
  16. 16.
    Crawford F, Thomson CE, (2003), Interventions for treating plantar heel pain. Cochrane Database Sys Rev. CD000416Google Scholar
  17. 17.
    Wise C, (2009), Arthrocentesis and injections of joints and soft tissue. In: Feinstein GS, Budd RC, Harris ED, McInnes IB, Ruddy S, Sergent JS; Kelly’s Textbook of Rheumatology, 8th Edition, Saunders/Elsevier, Philadelphia, p721–739.Google Scholar
  18. 18.
    Ostensson A, Geborek P, (1991), Septic arthritis as a non-surgical complication in rheumatoid arthritis: relation to disease severity and therapy. Br. J. Rheumatol. 30: 35–38.PubMedCrossRefGoogle Scholar
  19. 19.
    Kortelainen ML, Särkioja T, (1990), Fatal complications of intramuscular and intra-articular injections. Z Rechtsmed. 103: 547–554.PubMedCrossRefGoogle Scholar
  20. 20.
    Cawley PJ, Morris IM, (1992), A study to compare the efficacy of two methods of skin preparation prior to joint injection. Br J Rheumatol. 31: 847–848.PubMedCrossRefGoogle Scholar
  21. 21.
    Johnson SM, Saint John BE, Dine AP, (2008), Local anesthetics as antimicrobial agents: a review. Surg Infect. 9: 205–213.CrossRefGoogle Scholar
  22. 22.
    Pasternack MS, Swartz MN, (2005), Myositis In: Mandell GL, Bennett JE, Dolin R (eds); Principles and practice of Infectious Diseases, 6th Edition, Elsevier, Churchill-Livingstone, Philadelphia, p1194–1204.Google Scholar
  23. 23.
    Christin L, Sarosi GA, (1992), Pyomyositis in North America: case reports and review. Clin. Infect. Dis. 15: 668–677.PubMedCrossRefGoogle Scholar
  24. 24.
    Chiu Sk, Lin JC, Wang NC, Peng MY, Chang FY, (2008), Impact of underlying diseases on the clinical characteristics and outcome of primary myositis. J. Microbiol. Immun. Infect. 41: 286–293.Google Scholar
  25. 25.
    Filler S, Dolgin SE, Saphir RL, Shlasko E, Midulla P, (2003), A case confirming the progressive stages of pyomyositis. J. Pediatr. Surg. 38: 1551–1553.CrossRefGoogle Scholar
  26. 26.
    Robben SGF, (2004), Ultrasonography of musculosketal infections in children. Eur. Radiol. 14 (Suppl 4): 65–77.Google Scholar
  27. 27.
    Scott DL, Kingsley GH, (2004), Use of imaging to assess patients with muscle disease. Curr. Opin. Rheumatol. 16: 678–683.PubMedCrossRefGoogle Scholar
  28. 28.
    Chau CLF, Griffith JF, (2005), Musculosketeal infections: ultrasound appearance. Clin. Radiol. 60: 149–159.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.St. Michael’s HospitalUniversity of TorontoTorontoCanada

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