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Most recents (1)
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!!!
