Discover and read the best of Twitter Threads about #Leptospira

Most recents (2)

Weekend Digest
Name the pathogen!

5 Clues:
Conjunctival suffusion.
Jarisch-Herxheimer. Image

Spiral-shaped bacteria

Zoonotic: rodents important reservoir

Enters though skin breaks, mucosa, conjunctiva

Freshwater. Floodwater. Rainfall.

Recreational water activities. Triathlon. Swimming. Wading.

Rice farmers. Abattoir workers.
Acute febrile bacteremic phase —> immune phase

Constitutional: fever, myalgia, arthralgia

Conjunctival suffusion
Renal failure
CNS and other organ involvement
Read 4 tweets
#idboardreview 25 M ‘mud run’ in Hawaii 2wks go, ski trip in Colorado 1wk ago now presents w/ F, hypoxia, wbc20k, Hb7, plt90, ⬆️cpk 2k⬆️Cr, mild⬆️lft, required mech ventilation, bloody respiratory secretions. Diagnosis? #medEd #idmedEd #idtwitter
diffuse alveolar hemorrhage (DAH) due to leptospirosis pulmonary hemorrhage syndrome (LPHS) #leptospira interrogans
DIffuse alveolar hemorrhage Infectious DDx dengue, malaria, influenza A, leptospirosis, hantavirus, staph aureus, adenovirus, cmv, aspergillosis, Mycoplasma, Legionella, Strongyloides
Read 11 tweets

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