Discover and read the best of Twitter Threads about #Fusarium
Most recents (5)
#fungi ..
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus 🍄 .. 🤔 .. 1/n
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus 🍄 .. 🤔 .. 1/n
#fungi ..
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus 🍄 .. 🤔 .. 2/n
healthline.com/nutrition/can-…
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus 🍄 .. 🤔 .. 2/n
healthline.com/nutrition/can-…
#fungi ..
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus 🍄 .. 🤔 .. 3/n
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus 🍄 .. 🤔 .. 3/n
People ask me how the Panama disease looks like and if it affects fruits and hence humans (short answer: NO)
Fusarium wilt of bananas (#PanamaDisease) kills banana plants. It is caused by the soil-borne fungus #Fusarium.
This is a sick banana in the field (Phil)
Thread 1/n
Fusarium wilt of bananas (#PanamaDisease) kills banana plants. It is caused by the soil-borne fungus #Fusarium.
This is a sick banana in the field (Phil)
Thread 1/n
It is considered to be one of the most important and destructive diseases in history. It caused the epic epidemic in the 1900s that wiped out the "#GrossMichel" (previous cultivar) based industry. Cultivar commercially extinct (still in production in some countries tho)
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Before the famous #Cavendish (cultivar we eat now), the Gros Michel was the preferred cultivar for the international banana trade, but it was replaced due to its susceptibility to the Panama disease (let's call it 1st version for now).
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Images of Infectious Diseases
GMS of sinus tissue of 20F with no PMH. She presented with fever and sinus pain. CT pansinusitis. Labs: WBC 1.7 ANC 0. Serum BDG and GM negative.
What is your differential diagnosis and empiric therapy? #MayoIDQ to follow...
GMS of sinus tissue of 20F with no PMH. She presented with fever and sinus pain. CT pansinusitis. Labs: WBC 1.7 ANC 0. Serum BDG and GM negative.
What is your differential diagnosis and empiric therapy? #MayoIDQ to follow...
2/
Histopath of surgically resected tissue shows fungal elements. You suggested Mucor/Rhizopus, Fusarium, Trichosporon.
Lack of serum BDG suggests Mucor/Rhizopus
The patient was started on AmBisome.
Few days later, the fungal culture of the same sinus sample shows (photo)
Histopath of surgically resected tissue shows fungal elements. You suggested Mucor/Rhizopus, Fusarium, Trichosporon.
Lack of serum BDG suggests Mucor/Rhizopus
The patient was started on AmBisome.
Few days later, the fungal culture of the same sinus sample shows (photo)
3/
#MayoIDQ Surgical debridement of the sinuses was performed plus liposomal Amphotericin B was initiated. Patient lives in rural MN and asks you if an oral option is available as step down Rx.
#MayoIDQ Surgical debridement of the sinuses was performed plus liposomal Amphotericin B was initiated. Patient lives in rural MN and asks you if an oral option is available as step down Rx.
#IdBoardReview 60 M AML on chemo, neutropenic w/ sepsis, BC neg, on vanc/cefepime: clinically worse. +skin lesion, biopsy shown. diagnosis? #medEd #IDmedEd
#Fusarium most commonly in pts with acute leukemia & profound neutropenia >3 wks. Also seen in HSCT pts, portal of entry unknown ?inhalation, ingestion, skin trauma. hematogenous spread w/ indwelling catheters
#fusarium skin lesions 60%-80% cases as multiple papule or painful nodules & later become raised, erythematous, necrotic. common on extremities but can be seen on trunk/face. +BC in 50%, septate hyphae have both acute & right angle branching
On day 14 of neutropenia, an astute ID fellow noted this finding (photo) while examining a patient with fever. Underlying AML and ongoing chemotherapy.
What do you suspect? What work up do you suggest? Details and #MayoIDQ MCQ to follow...
What do you suspect? What work up do you suggest? Details and #MayoIDQ MCQ to follow...
65M acute myeloid leukemia. Rx: CLAG-M. Prophy ACV, posaconazole, Levo, inhaled pentamidine
D14 neutropenia: fever / chills
Exam: onychomycosis, rapidly evolving lesions in arms and torso (photo)
You asked for skin biopsy. Blood culture will grow what fungus?
D14 neutropenia: fever / chills
Exam: onychomycosis, rapidly evolving lesions in arms and torso (photo)
You asked for skin biopsy. Blood culture will grow what fungus?
2/
Case diagnosis: disseminated fusariosis
Majority got the diagnosis correctly!
Blood culture: Fusarium sp.
Rx: AmBisome / voriconazole
Hope for neutrophil recovery!!!
Case diagnosis: disseminated fusariosis
Majority got the diagnosis correctly!
Blood culture: Fusarium sp.
Rx: AmBisome / voriconazole
Hope for neutrophil recovery!!!
