#idboardreview 30 F adopted a stray cat, likes to eat seared chicken sashimi presents w/ fever & RUQ pain, +eosinophilia. Diagnosis? #medEd #idmedEd #idtwitter
#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
#toxocariasis presentations
-visceral larva migrans mostly preschool kids (liver, lung, skeletal muscle, occasionally heart): fever, myalgia, weight loss, cough, rashes, hepatosplenomegaly, hypereosniophilia
-ocular larva migrans blindness
most infections are asymptomatic
ocular #toxocara various ophthalmologic lesions & may cause diffuse unilateral subacute neuroretinitis
-usually presents w/ uveitis, retinitis, or endophthalmitis; -permanent visual damage or blindness can occur.
-can be misdiagnosed as retinoblastoma
-older kids/young adults
dx #toxocara antibody/ELISA.
titer of ≥1:32 is considered positive
tx: albendazole

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More from @IUIDfellowship

13 Feb
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#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
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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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#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
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