Discover and read the best of Twitter Threads about #Staphylococcus

Most recents (5)

Betten machen im KH lässt #nosokomiale #Keime fliegen - da freut sich der Bettnachbar

#Deutsche Studie weißt #Korrelation zwischen der #Belastung durch #Luft- und #Oberflächenkeime nach dem #Bettenmachen nach - darunter #MRSA
Ein vorübergehender Anstieg von MRSA in der Raumluft wurde in den meisten Proben 1 Minute und 15 Minuten nach dem Bettenmachen festgestellt, MDRGN wurden in der Luft von zwei Patientenzimmern nachgewiesen.
Beim Bettenmachen verschoben sich die Anteile in Richtung #koagulasenegativer #Staphylokokken und #Staphylococcus #aureus.
Read 9 tweets
1/ Today in @ScienceMagazine, @aspaan1 & colleagues show that human #OTULIN #haploinsufficiency impairs non-leukocytic cell-intrinsic immunity to the #staphylococcal alpha-toxin (science.org/doi/10.1126/sc…).
2/ They discovered OTULIN haploinsufficiency via a genome-wide approach in a cohort of patients with unexplained, life-threatening staphylococcal disease – the findings are relevant in vivo.
3/ The clinical hallmark of OTULIN haploinsufficiency is necrosis of the skin and/or lungs, typically triggered by infections with #Staphylococcus aureus.
Read 9 tweets
#MayoIDQ: 86M DM

2 wk of R ear pain / nasal discharge

Now: R frontal HA, facial pain, vision loss

PE: R ptosis, CN III, IV, VI palsies, purulence R middle meatus

CT: R sided paranasal sinusitis w/ phlegmonous extension to orbital apex

What is DDx, work up and etiology?
2/
Diagnosis: Orbital Apex Syndrome

S/S due to involvement of structures in orbital apex: most common vision loss and painful / limited eye movement

CN palsies
* Optic nerve
* Oculomotor nerve
* Trochlear nerve
* First division of trigeminal nerve
* Abducens nerve
3/
DDx (overlapping symptoms) of orbital apex syndrome

1. Cavernous sinus thrombosis
2. Superior orbital fissure syndrome

ncbi.nlm.nih.gov/pmc/articles/P…
Read 7 tweets
A series of images presented by an ID fellow to a faculty panel in the “Challenging Cases” session of the #MayoIDFellowsForum

The fellow asked the experts: What diagnosis comes to mind?

#IDTwitter, what do you think?
Clinical details, #MayoIDQ and MCQ to follow...
2/
Awesome list of potential pathogens... from staphylococcus / streptococcus to nocardia, TB, fungi (Mucor, Candida, endemics) and toxoplasma, and others.

Without knowing the host and scenario, all are possible. Thank you #IDTwitter.
Now let us learn about the case details..
3/
45M found unconscious.
PMH: alcohol use disorder. No IDU.
PE: T103F RR32 PR110
Meningismus.
Murmur. Rales.
No skin lesions.
WBC 27K.
Imaging (photo). No PFO.
CSF TNC 9450 /N92% /prot 150 / glu 20

Name the pathogen.
Read 16 tweets
Images of Infectious Diseases

In addition to these CT findings, there are multiple wedge-shaped peripheral areas of hypoattenuation in the spleen.

Name the host and the risk factor.
28 PWID. No PMH.
Fever, chills, sweats. cough, abdominal pain x 1 week

PE: ill-looking, murmur, scattered rales, petechiae
WBC 19.5, Cre 2.16
Blood culture: MSSA
CT (prior tweet)
TEE ordered.

Whic of the following options is best for Rx?
1/
Case diagnosis:
#MSSA #Endocarditis in #PWID

TEE: TV multiple vegetations + small aortic valve lesion. PFO with small right to left shunt
Read 17 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!