Thread by @swinndong

#IDWeek2020
Session: Challenging Cases #PedsID

Some case thinking in a "COVID-free zone"

#IDWeek2020
Session: Challenging Cases #PedsID

Cerebral toxoplasmosis in alloHCT pt

CSF cytology actually noted tachyzoites - great image!

#IDWeek2020
Session: Challenging Cases #PedsID

Fusobacterium necrophorum causing liver and renal abscess

Anonymous vampire pic appreciated 🧛

#IDWeek2020
Session: Challenging Cases #PedsID

9 mo with SCID with disseminated BCGitis and mycobacterial pseudotumor (wow to the image!)

Usually local but likely hematog spread in this case as bcxs positive

#IDWeek2020
Session: Challenging Cases #PedsID

Another session, another case of tick paralysis!

Toxin-mediated process, although paralysis doesn't occur until prolonged bloodmeal (4-5 days)

Check out the scalp/hair and behind the ear!!

#IDWeek2020
Session: Challenging Cases #PedsID

2yo with ALL, 3wks of neuro decline, ultimately dx'd via mNGS with Astrovirus VA-1/HMO-C

Can cause acute/progressive encephalitis in ICH
Does not have to be associated with GI illness

Pt survived despite ⬆️reported mort!

#IDWeek2020
Session: Challenging Cases #PedsID

16F previously healthy p/w fever, AMS - ultimately found to have MSSA endocarditis with embolic phenomena