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Images of Infectious Diseases
56M Mexico. Chronic abdominal pain, weight loss, anorexia.
Work up: elevated markers (CA19-9, CA-125, AFP). CXR normal. CT peritoneal carcinomatosis.
Laparoscopy (photo). Biopsy showed granuloma. What is your DDx? #MayoIDQ MCQ next...
56M Mexico. Chronic abdominal pain, weight loss, anorexia.
Work up: elevated markers (CA19-9, CA-125, AFP). CXR normal. CT peritoneal carcinomatosis.
Laparoscopy (photo). Biopsy showed granuloma. What is your DDx? #MayoIDQ MCQ next...
#MayoIDQ
Thank you for your responses.
Culture of tissue (peritoneal nodules) of this 56M (see prior tweet) with granuloma on biopsy: Mycobacterium tuberculosis complex. Resistant to pyrazinamide.
Which of these choices is the most likely mechanism of transmission?
Thank you for your responses.
Culture of tissue (peritoneal nodules) of this 56M (see prior tweet) with granuloma on biopsy: Mycobacterium tuberculosis complex. Resistant to pyrazinamide.
Which of these choices is the most likely mechanism of transmission?
1/
Case diagnosis: Peritoneal #tuberculosis due to #Mycobacterium #bovis
Path: granuloma and positive #AFB stain
Culture: M tuberculosis complex
Clue: #PZA resistance —> THINK M. bovis
Reported by @GaboMotoa during his rotation in Mayo Clinic
doi.org/10.1002/ccr3.3…
Case diagnosis: Peritoneal #tuberculosis due to #Mycobacterium #bovis
Path: granuloma and positive #AFB stain
Culture: M tuberculosis complex
Clue: #PZA resistance —> THINK M. bovis
Reported by @GaboMotoa during his rotation in Mayo Clinic
doi.org/10.1002/ccr3.3…
