#idboardreview 30 F return from (2wk visit to) Togo 🇹🇬 3d ago now/fever, chills, rigors. Thin smear shown. Diagnosis? #medEd #idmedEd #IDtwitter Image
#plasmodium #ovale moderately enlarged fimbriated red cells with shuffner stippling, amioboid trophozites
P. #ovale #malaria is endemic to tropical Western Africa. It is relatively unusual outside of Africa and comprises less than 1% of isolates where found. It is also seen in the Philippines, Indonesia, and Papua New Guinea, but is relatively rare in these areas
The life cycle of P. #ovale includes hypnozoites, which are dormant stages in the liver. These stages can be reactivated in weeks, months, or years after the initial infection, causing disease relapse.
#ovale Chloroquine and or an artemisinin combination therapy. After fever has subsided: Primaquine is required to eradicate the hypnozoite liver stages

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More from @IUIDfellowship

13 Feb
#idboardreview 40 M had motor vehicle accident 2 years ago, chronic wound which drains periodically. diagnosis? #meded #idmedEd #idtwitter ImageImage
cutaneous #nocardia can present with superficial infection or mycetoma
#nocardia ubiquitous in soil, can establish superficial infection after trivial inoculation injuries, insect/animal bite, puncture wound, contaminated abrasions
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12 Feb
#idboardreview 30 F adopted a stray cat, likes to eat seared chicken sashimi presents w/ fever & RUQ pain, +eosinophilia. Diagnosis? #medEd #idmedEd #idtwitter ImageImage
#Toxocariasis in humans is caused by infection with larvae of Toxocara spp., which are common ascarid roundworms of mammals. Confirmed zoonotic species include dog roundworm T. canis & cat roundworm T. cati
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25 Jan
#idboardreview 30 M from Thailand 🇹🇭 new dx HIV CD4 5 presents w/ fever, sore throat, dry cough, generalized umbilicated skin lesions x2wks. Diagnosis? #medEd #idmedEd #IDtwitter
#Talaromyces marneffei cause of morbidity and mortality in HIV-infected & other immunosuppressed patients who live in or are from endemic areas especially Southeast Asia. Amphotericin B or Itraconazole should be initiated as soon as possible for patients with talaromycosis
Mortality ranges 8-40%. Common clinical manifestations include fever, weight loss, anemia, weakness, skin lesions, lymphadenopathy and hepatosplenomegaly #talaromycosis
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24 Jan
#idboardreview 25 M ‘mud run’ in Hawaii 2wks go, ski trip in Colorado 1wk ago now presents w/ F, hypoxia, wbc20k, Hb7, plt90, ⬆️cpk 2k⬆️Cr, mild⬆️lft, required mech ventilation, bloody respiratory secretions. Diagnosis? #medEd #idmedEd #idtwitter
diffuse alveolar hemorrhage (DAH) due to leptospirosis pulmonary hemorrhage syndrome (LPHS) #leptospira interrogans
DIffuse alveolar hemorrhage Infectious DDx dengue, malaria, influenza A, leptospirosis, hantavirus, staph aureus, adenovirus, cmv, aspergillosis, Mycoplasma, Legionella, Strongyloides
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23 Jan
#idboardreview 12 prisoners from Mississippi jail present with varying symptoms of acute b/l cranial neuropathies and descending weakness after drinking 'hooch'. Diagnosis? #medEd #idmedEd Image
#botulism Hooch is defined as an illicitly made alcoholic beverage cdc.gov/mmwr/volumes/6…
honey, potatoes, apples & tomato paste from a bulging can were combined, hidden, fermented in sealed plastic bag at room temperature for 3–5 days. Possible sources of Clostridium botulinum or toxin include tomato paste, potatoes, contamination from the environment.
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31 Aug 20
#IdBoardReview 65 M presents w/ severe pain in leg for few hours, progressed to rapid swelling/bullae and +gas on X-ray. hx of bright blood per rectum for few months. diagnosis? #idmedEd #medEd
#Clostridium septicum spontaneous non-traumatic gas gangrene associated with malignancy likely colorectal CA in this case
Spontaneous traumatic gas gangrene is most commonly due to Clostridium perfingens & sometimes other clostridia sp. Non-traumatic spontaneous gas gangrene: most commonly due to C septicum: 80% malignancy related, most common CA are colon f/b hematologic
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