#idboardreview 20 M HIV CD4 200 VL undetected on ART has hoarseness for 2months now presents w/ dyspnea, inspiratory wheezing, tracheal obstruction w/rosettes. Diagnosis? #idmedEd #medEd #IDtwitter Image
Recurrent respiratory papillomatosis (RRP) is a rare cause of benign tumors of the respiratory tract caused by #HPV. involves larynx & trachea, but rarely can spread distally to affect bronchi & lung parenchyma
#RRP #HPV has a bimodal age distribution:
Juvenile-onset (from vertical transmission at delivery, or, infection in utero)
adult-onset disease may result from sexual or oral transmission
#RRP is secondary to the low-risk types #HPV 6 and 11, with the latter being more virulent
#RRP #HPV treatment is surgical debulking, predominantly through laser therapy or use of microdebriders.

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#idboardreview 80 M BPH presents w/ fever, dysuria, hematuria. CT:hydroureteronephrosis. UA +LE. Urine/blood culture anaerobic Gram+rod R to FQ/tmp-smx. Dx? #medEd #idmedEd #IDtwitter ImageImage
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#idboardreview 45 F w/ 1 cm nodule located near a scar from a previous mastectomy. +travel to several western & central European countries within the past year. The nodule was removed and tissue sections shown. Dx? #medEd #idmedEd #IDtwitter
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#dirofilaria #repens
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