A Baby from Haiti
A disease simulation using GIDEON’s Infectious Diseases module
A 16 month old child is brought to the United States following adoption in Haiti. One week after arriving, the child develops a prolonged illness characterized by fever, cough and respiratory distress. Physical examination reveals generalized lymphadenopathy and hepatosplenomegaly. A chest roentgenogram discloses pulmonary infiltrates, and a moderate lymphocytosis is present. What is the differential diagnosis in this case?
In the Infectious Diseases module, access the 
section and enter the clinical findings into GIDEON:
The Diagnosis results are displayed in the lower right-hand box:
In addition to the top diagnosis of Tuberculosis, GIDEON provides the following additional information:
- Comparison of signs and symptoms for the differential diagnosis list. Select diseases to be compared by checking the box next to each name, and then click on the
button for a comparison chart:
- A graph of the cases and disease rates of Tuberculosis in Haiti, which can be accessed by clicking the
tab and selecting Haiti from the list of countries. In the notes, a number of links to graphs are listed in blue and can be clicked on to access more information:
- See the free ebook, Infectious Diseases of Haiti
