Cutaneous Manifestations of Infection in the Immunocompromised Host

The updated second edition  of Cutaneous Manifestations of Infection in the Immunocompromised Host is an invaluable reference for physicians and ancillary medical professionals involved in the care of patients with impaired immune systems due to canc

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Marc E. Grossman • Lindy P. Fox • Carrie Kovarik Misha Rosenbach

Cutaneous Manifestations of Infection in the Immunocompromised Host Second Edition

Authors Marc E. Grossman, M.D. Professor of Clinical Dermatology College of Physicians and Surgeons Director, Hospital Consultation Service New York Presbyterian Hospital Columbia University Medical Center New York, New York, USA Lindy P. Fox, M.D. Associate Professor of Clinical Dermatology Director, Hospital Consultation Service University of California, San Francisco San Francisco, California, USA

Carrie Kovarik, M.D. Assistant Professor of Dermatology Dermatopathology, and Infectious Diseases University of Pennsylvania Philadelphia, Pennsylvania, USA Misha Rosenbach, M.D. Assistant Professor of Dermatology and Internal Medicine Director, Dermatology Inpatient Consult Service University of Pennsylvania Philadelphia, Pennsylvania, USA

ISBN 978-1-4419-1577-1 e-ISBN 978-1-4419-1578-8 DOI 10.1007/978-1-4419-1578-8 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011933837 Springer Science+Business Media, LLC 2012 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Preface to the Second Edition

Immunocompromised patients are often some of the sickest patients in the hospital. Dermatologists who focus on inpatient consultations and caring for hospitalized patients are often faced with the gravely ill, severely immunocompromised patient who presents with cutaneous lesions that are a mystery to the primary team and the other involved subspecialty consultants. More often than not these lesions are a sign of an infection, typically one that is potentially lifethreatening. Infections in the immunocompromised host often lead to rapid demise, making early recognition of the infectious process crucial to the patient’s survival. The dermatologist plays a central role in identifying the pathogenic organism, implementing the appropriate th