Discover and read the best of Twitter Threads about #meningitis

Most recents (9)

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
...Repasemos la enfermedad por el #VirusWestNile (#WNV):

🔘WNV es un arbovirus zoonótico emergente extendido por todo el 🌎
🔘Se transmite principalmente por la picadura de mosquitos.
🔘Las aves suelen ser el reservorio natural (migración ayuda a propagación).

Abro 🧶⬇️
🔘El virus puede resultar patogénico en humanos 👩‍🦰🧑‍🦰y en equinos 🐴
🔘Es una de las enfermedades incluidas en el Reglamento Sanitario Internacional de la #OMS, así como en la lista de enfermedades de declaración obligatoria de la #OIE
🔘Su diagnóstico diferencial es amplio
La infección por WNV suele ser asintomática (60-80%)
Cuando es sintomática, se caracteriza por #fiebre, #cefalea, #artromialgias y malestar general.
Hasta en el 50% puede aparecer un #rash maculopapular (tronco y extremidades)
Read 8 tweets
For a virus that presents "few to no symptoms" for the majority, "U.S. Orders Up to 600 Million Doses of #Pfizer, BioNTech Covid #Vaccine" (Bloomberg).

bloomberg.com/news/articles/…

So let's take a look at Pfizer.
"Pfizer is a publicly-traded global pharma corp.headquartered in NYC. Its revenues reached $52.5 billion in 2017. #Pfizer makes Advil, Xanax, #DepoProvera, Neosporin, #Lyrica & Dimetapp. Pfizer manufacturers more than 350 different pharmaceuticals & operates in 180 countries.
Pfizer's Lyrica, the new vallium, linked to depression, anxiety & suicide, now top pain medication on PBS. #Pregabalin #Addiction. Addicts of #hydromorphone (#Opioid) (Pfizer) have found a new addiction w/ #Lyrica. Capsules are opened, crushed & snorted.

thetimes.co.uk/article/drug-d…
Read 40 tweets
#STUDY: Vaccine (Oka Varicella) Meningitis in Two Adolescents

ncbi.nlm.nih.gov/pubmed/31776194

"Like wild-type varicella-zoster, vaccine varicella can establish latency & reactivate as herpes zoster, rarely leading to serious disease."

#InformedConsent #LearnTheRisk #VaccineInjured
#STUDY: Vaccinated for #SHINGLES Can Infect Others with #Varicella Zoster Virus

ncbi.nlm.nih.gov/pmc/articles/P…

58% of immunized individuals shed #vaccine VZ virus DNA in saliva over 4 weeks.

It's not unvaxxed kids who are spreading VZV, it's vaxxed adults.

#LearnTheRisk #SHEDDING
Another example of vaccine #SHEDDING

#STUDY: #Vaccine Strain Varicella Zoster Virus Transmitted Within a Family from a Child with #Shingles Results in Varicella #Meningitis in an Immunocompetent Adult

onlinelibrary.wiley.com/doi/full/10.11…

#LearnTheRisk #InformedConsent #VZV #VaccineInjured
Read 14 tweets
Nigeria has made a lot of progress in preparing and responding to disease outbreaks and epidemics. I remember my early days of public health; some 15yrs ago it's @WHONigeria that prepared and shared the #weeklyepidemiological report for Nigeria... a thread!
1/20
#Clap4NCDC
For every outbreak or public health emergency in Nigeria, we heard more about @WHO who appeared to be at the forefront with @Fmohnigeria and its agencies; old #NPI which merged with @NphcdaNG fought #polio with the support of @WHO @UNICEF @Rotary etc.
#Clap4NCDC 2/20
With time the #Epidemiology unit of @Fmohnigeria grew in strength and capacity to lead the response. They also produced and sent out the weekly epidemiology reports for Nigeria, which hitherto was shared by @WHONigeria in collaboration with FMOH for sure. #Clap4NCDC
3/20
Read 23 tweets
Let's get started on our first @realbrainbook CBD.
A 49 year old woman presents to the emergency department with an acute onset headache, vomiting, neck stiffness and photophobia. On examination she is conscious and alert with a GCS of 15. She has no neurological deficits #BBSAH
Based on the history what are your thoughts on differential diagnoses? #BBSAH
Indeed, some great differentials mentioned. Here are some important ones to consider:
Vascular: Ruptured #aneurysm, Ruptured arterio-venous malformation #AVM
Infectious: #Meningitis ,Ruptured mycotic aneurysm
Other: #Migraine, Traumatic haemorrhage #BBSAH
Read 50 tweets
There is a thin line between contributing to knowledge through research and prioritising public health response during outbreaks. For us at @NCDCgov, our responsibility is to find the right balance, as they are interdependent.
#NCDCSundayReflections
Both research and response are critical. We can not do one without the other. It is important for countries especially like ours, to focus on building strong foundations. Supporting communities to improve health systems that will build trust and save lives
Over the last 3 years, there has been an increased interest of global institutions- public health, research and funding institutes, in the work we do especially in response to #meningitis #Lassafever #monkeypox. We need research to develop new tools to improve response
Read 5 tweets
Not sure what to expect at the 2019 BHP Research Showcase? Our free public event will be held at @qehbham on Fri 17 May, where you can get hands-on with our health research. If you want to #BePartOfResearch, take a look through our exhibitor info THREAD > birminghamhealthpartners.co.uk/research-showc…
Our #cardiology stand will focus on current studies that are changing & saving the lives of our patients. Our cardiology team is one of the largest in the UK and works closely with @ICVS_UoB to treat every type of #heartdisease
#BePartOfResearch
.@UmbrellaHealth is the home of #sexualhealth services for Brum & Solihull. They'll be here with interactive displays highlighting research into #HIV and #STIs, including #antimicrobialresistance and bacterial vaginosis >> umbrellahealth.co.uk
#BePartOfResearch
Read 23 tweets
If you have an interest in #AI, #HealthTech or #PatientSafety - then please read this evidence based thread which tells the story of @DrMurphy11 & an #eHealth #AI #Chatbot.

Read on, or see single tweet summary here👇0/44
is not a 'nerd'; he's a pretty typical NHS consultant with an interest in #PatientSafety.

On 6th Jan 2017 a tweet about an #eHealth #AI #Chatbot in #NHS trials caught his attention, so he thought he'd take a look. 1/44

Evidence here 👇
Dr Murphy downloaded the @babylonhealth App & tried the #Chatbot with a few simple clinical presentations. It quickly became apparent that the #Chatbot had flaws, raising the question if the App had been validated as a triage tool?

As evidenced by👇 2/44
Read 45 tweets

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