Publications by authors named "Maria Miklowski"

3 Publications

  • Page 1 of 1

The hospitalized patient with COVID-19 on the medical ward: Cleveland Clinic approach to management.

Cleve Clin J Med 2020 Nov 3. Epub 2020 Nov 3.

Chairman, Department of Hospital Medicine, Cleveland Clinic Community Care, Cleveland Clinic; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH.

SARS-CoV-2-infected inpatients who are admitted to a noncritical care medical ward require a standardized approach that is based on evidence if available, and effective supportive and respiratory care. Outcomes are better when patients receive standardized care, in special COVID-19 wards in the hospital, from clinical teams with expertise. Available evidence and guidelines should be continuously appraised and integrated into clinical protocols for all domains of treatment, including isolation, and personal protective measures, pharmacologic therapy, and transitions of care. Inpatient pharmacologic therapy at this time consists primarily of dexamethasone and remdesivir, along with thromboprophylaxis, given the coagulopathy associated with COVID-19. This article summarizes current practices in our organization.
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November 2020

Eyes of the mimicker.

Cleve Clin J Med 2018 May;85(5):356-357

Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.

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May 2018

A 23-year-old man with fever and malaise.

J La State Med Soc 2012 May-Jun;164(3):164-5, 167-8, 170 passim

Department of Medicine, Louisiana State University Health Sciences Center, New Orleans, USA.

Acute infection with human immunodeficiency virus (HIV) is infrequently diagnosed, owing in large part to vague or non-specific symptoms. Among the most common of these symptoms are fever, fatigue, pharyngitis, lymphadenopathy, anorexia, arthralgia, myalgia, rash, and headache. Some patients seek no medical attention for such symptoms, and others recall no symptoms whatsoever. Physicians in all healthcare environments must maintain a high index of suspicion for HIV in the setting of these symptoms. For suspected acute infection, rapid serologic tests should be supplemented with assays of p24 antigen and/or HIV RNA viral load. We report here a case of acute HIV infection in a young man who presented with a negative rapid serologic test, as well as pancytopenia and transaminitis. We also review the epidemiology, transmission, diagnosis, and management of acute HIV infection.
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August 2012