WORKUP

If fever is present, consider searching for the following infections: 

Herpes Simplex Virus (HSV) 1 and 2

• HSV 1 IgM and HSV 1 IgG

• HSV 2 IgM and HSV 2 IgG

Mycoplasma Pneumoniae

• Chest x-ray

• Mycoplamsa polymerase chain reaction (PCR)

• Direct Coombs test

• Cold-agglutinin

Histoplasmosis

• Ask about exposure to Ohio and Mississippi River Valleys

• Fungal cultures from bronchoalveolar lavage (BAL)

• Antigen detection enzyme immunoassay (EIA) in urine, blood or BAL fluid

• Serologic testing

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Orf

• Ask about exposure to sheep or goats

• Biopsy or molecular testing of skin lesion

• Look for erythematous nodule on the hand