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1/ Back again #IDTwitter, #MedEd, & #TropMed folks... This is parenchymal neurocysticercosis! The cyst on the right is degenerating and colloidal, and the two cysts on the left are viable.
Note the fabulous scoleces in each cyst 👇
2/ The images shown are MRI FLAIR sequences👆. You really need more than one sequence when staging parenchymal NCC.
3/ A CT helps identify calcifications.

On an MRI:
A T1 post-contrast image tells you how much enhancement there is around the cyst.

A T2-weighted image tells you if there is fluid in the cyst.

The FLAIR image is best to visualize peri-cystic edema and also the scolex.
Read 7 tweets
1/
There have been several small RCTs over the last weeks suggesting a clinical benefit for #ivermectin for #COVID_19.

It’s time for a MEGA THREAD on ivermectin, aka the “wonder drug”!

Let's start the show !🔥🔥🔥
2/
Ivermectin belongs to the family of avermectins, which are natural fermentation products of soil bacteria. A Nobel Prize of Medicine was awarded for their discovery. Image
3/
Ivermectin is indicated for several parasitic infections: onchocerciasis, lymphatic filariasis, strongyloidiasis, scabies. It works on head lice too. #NTDs

But ivermectin may have a broader therapeutic benefit. Hence its nickname, the “wonder drug”.
pubmed.ncbi.nlm.nih.gov/28196978/
Read 20 tweets

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