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Ilan Schwartz MD PhD Profile picture
@GermHunterMD
Oct 11, 2020 • 54 tweets • 26 min read • Read on X
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I was asked to create an answer🔑 for these
1. Vibrio vulnificus hemorrhagic bullae from oysters (major risk factor is cirrhosis) cdc.gov/vibrio/vibrio-…
2. Blastomycosis associated with waterways (lakes and rivers) in provinces/states near great lakes cdc.gov/fungal/disease… Image
3. Scorpion venom can lead to necrotizing pancreatitis sciencedirect.com/science/articl…
4. Cryptococcosis associated with pigeon droppings cdc.gov/fungal/disease…
5. Orf, caused by Orfpox virus, transmitted from mouths of 🐐&🐑 to☝️✋ of people. cdc.gov/poxvirus/orf-v…
6. Histoplasmosis is caused by Histoplasma capsulatum, found in soil and areas contaminated by 🦇 or 🐦 guano. Spelunking a classic exposure ncbi.nlm.nih.gov/books/NBK44818… Image
7. African tick bite fever is a rickettsial disease caused by Rickettsia africae. Classic risk factor is walking in wilderness areas (game parks) in S Africa or Zimbabwe. Note the eschar (tache noir) ncbi.nlm.nih.gov/books/NBK43112… Image
8. Baylisascaris procyonis is the raccoon roundworm. If humans ingest the roundworm eggs (food contaminated by 🦝💩) can lead to eosinophilic encephalitis cdc.gov/parasites/bayl…
9. Rat bite fever caused by Streptobacillus moniliformis or Spirillum minus cdc.gov/rat-bite-fever/ ImageImage
10. Hantavirus pulmonary syndrome caused by inhalation of hantavirus, associated with mouse droppings. Classic exposure is sweeping (aerosolizing) an old cabin cdc.gov/hantavirus/hps…
See this CDC infographic on distinguishing Hantavirus pulmonary syndrome from COVID-19 Image
11. Pet reptiles can carry Salmonella enteritidis which can cause diarrheal syndrome or rarely aortitis cdc.gov/salmonella/
12. Seal finger is caused by Mycoplasma phocacerebrale; and infection usually occurs on the hand following bite by a seal academic.oup.com/cid/article/27… Image
13. Fishtank granuloma is caused by Mycobacterium marinum, found in marine environments and 🐟 tanks. Usually occurs on hands/arms as lymphocutaneous nodules after cleaning fishtank without gloves cfsph.iastate.edu/Factsheets/pdf… Image
14. In the southern US, Armadillos are zoonotic reservoirs of Mycobacterium leprae, the cause of leprosy. cdc.gov/leprosy/transm… Image
25. Brucellosis is acquired from animal products - usually unpasteurized dairy. Can present with undulating fever syndrome, vertebral osteomyelitis cdc.gov/brucellosis/in… Image
26. Leptospirosis is caused by Leptospira. Risk factor is exposure to water contaminated with rat urine - most commonly after flooding cdc.gov/leptospirosis/ Image
27. Alveolar echinococcosis is caused by Echinococcus multilocularis. The adult tapeworm is found in 🦊, coyotes, 🐕 (fed offal from infected 🐑). People can ingest tapeworm eggs via food or water contaminated with canine poo. cdc.gov/parasites/echi… Image
28. Genitourinary schistosomiasis is caused by Schistosoma haemotobium, acquired by contact with freshwater in parts of Africa which has been contaminated by infected snails. Most common sign/symptom is hematuria (bloody urine). cdc.gov/parasites/schi… Image
29. Macaques can carry B virus (or herpes B virus), and 🐵bites or scratches can lead to infection in people. Vesicular skin lesions may appear but most feared result is encephalitis (brain inflammation) which can be fatal. cdc.gov/herpesbvirus/ Image
30. Yersinia pestis, the bacteria that causes plague, can be carried by rodent fleas which in turn can be carried by rodents like squirrels & prairie dogs in the Southwest US. Classic finding of "bubos" (lymphadenopathy) cdc.gov/plague/transmi… Image
31. Mycobacterium chelonae infection can complicate tattoos. nejm.org/doi/full/10.10…
32. Tularemia caused by Francisella tularensis. From handling carcasses of infected rabbits, or bites from infected arthropods. Look for 🐇 burrows when lawn mowing! cdc.gov/tularemia/ Image
33. Q fever is caused by Coxiella burnetti. It is associated with exposures to farms or abattoirs, and classic association with birthing sheep, goats, cattle. cdc.gov/qfever/ Image
34. Gnathostomiasis from consuming raw freshwater fish from Asia cdc.gov/parasites/gnat… Image
35. Scombroid is a histamine-release syndrome from consuming spoiled seafood. Classic fish associated: tuna, mackerel, mahi-mahi, sardines, anchovies, herring, bluefish, amberjack, and marlin.
wwwnc.cdc.gov/travel/page/fi…
36. Paragonomiasis associated with consuming uncooked crayfish or lobster cdc.gov/parasites/para… Image
37. Sporothrix schenckii associated with sphagnum (peat) moss, though rose thorns get more attention! Classically, lymphocutaneous (sporotrichoid) nodules ascending up arm. In Brazil, zoonotic sporothrichosis is by S. brasiliensis from cat scratches
cdc.gov/fungal/disease… Image
38. Phytophotodermatitis is a blistering skin reaction that occurs when skin makes contact with certain plants - most notoriously (for exam purposes): citrus juices - combined with UVA radiation from ☀️dermnetnz.org/topics/phytoph… Image
39. Syphilis. 'Nuff said. These are skin lesions on palms, characteristic of secondary syphilis cdc.gov/std/syphilis/s… Image
40. Probably goes without saying. Rose garden ceremony was a COVID-19 superspreader event. Wear a mask!

Hope this was fun and helpful - sorry to anyone given new fears from this (definitely not the intention).

Bottom line: Wash & cook your food properly, & use common sense!

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More from @GermHunterMD

Ilan Schwartz MD PhD Profile picture
Oct 2, 2021
No other way to say this:

The Alberta government completely abdicated its responsibility to ensure our health and wellbeing.

As a result, our healthcare system has completely collapsed. And all of us - unvaccinated and vaccinated alike - are affected.

cbc.ca/news/health/al…
Some of my quotes:

"Alberta was reckless in dropping all restrictions and declaring the pandemic over. Jason Kenney infamously declared that we were in the post-pandemic era, that COVID was no longer a risk and basically threw caution to the wind — that was a grave misstep"
"But what made things much, much worse is the inability to respond to the data that demonstrated a rising number of cases."
Read 10 tweets
Ilan Schwartz MD PhD Profile picture
Oct 1, 2021
Dear Edson babies who are crowning,
I’m sorry, you’ll just have to stay in utero a bit longer.
Some people had a Covid party and the hospital is full.
Thanks
(Typo fixed)
PeRsOnAl ReSpOnSiBiLiTy!!!
Read 5 tweets
Ilan Schwartz MD PhD Profile picture
Sep 16, 2021
Wow 😬 @ahs_media tweeting out a photo of ICU patients double-bunking (this is NOT normal)
They really want everyone to know how serious this is!!!
Look at each patient. Look how many tubes/lines are coming out of them, every one corresponding to pump or machine. Both patients are proned (turned on their tummies) for better oxygen exchange. It takes 5 staff to turn them over carefully so the tubes/lines don’t get yanked out.
Where are these 5 staff supposed to go?

Imagine if a patient’s hearts stops, and a resuscitation (a “code”) is called. 8-10 healthcare professionals would need to run in, find space to start doing chest compressions, trading off every 30 seconds, while others give IV meds.
Read 5 tweets
Ilan Schwartz MD PhD Profile picture
Sep 15, 2021
#PopAB briefing on #longcovid on now.
Now speaking is Dr Jason Weatherald @CalgaryPHdoc
10-15% of infections - all infections, not just severe cases - can be complicated by long term symptoms
Charlise, a brave 15 year old girl, sharing her #longcovid journey. Chest discomfort, anxiety, fatigue #PopAB
Read 4 tweets
Ilan Schwartz MD PhD Profile picture
Sep 15, 2021
Canada: Alberta healthcare system on verge of collapse as Covid cases and anti-vax sentiments rise

Includes coverage of open letter signed by 74 ID doctors:

“Our healthcare system is truly on the precipice of collapse”

theguardian.com/world/2021/sep…
“It’s not easy to go to work every day and watch people in their 30s die,” an ICU nurse in Edmonton told the Guardian.

“Having to help a family say goodbye and then going through the actions that are required at the end of someone’s life, is worse than anyone can imagine.”
“As soon as those breathing tubes come out, we’re kicking people out of ICU to make space for someone else,” said another nurse. “It’s getting bleak. It’s hard to watch.”
Read 6 tweets
Ilan Schwartz MD PhD Profile picture
Sep 15, 2021
74 Infectious Diseases doctors agreed on the following:

"Hospitals and ICUs across the province ... have reached a point where it is unclear if, or for how much longer, we can provide safe care for Albertans... Our healthcare system is truly on the precipice of collapse."
"... [T]he current measures do not go nearly far enough to interrupt transmission or reduce barriers to vaccination... [and] the current state of healthcare capacity in Alberta is so dire that waiting to see results of current ... measures will result in devastating consequences"
"... To prevent broad restrictions like those required in earlier waves, we are calling for immediate implementation of certificates of immunity that individuals must provide to enter any indoor public space for the purpose of accessing a non-essential service..."
Read 8 tweets

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