#ascaris large nematodes (round worms) acquired by ingestion of contaminated soil. Present globally but burden is highest in tropical and subtropical regions, especially in areas with inadequate sanitation
#ascaris most are asymptomatic but can cause intestinal or biliary obstruction or can migrate to lungs. No human to human transmission. Infection can last 1-2 yrs
Dx: egg in stool or larvae in sputum or bile aspirate. Tx albendazolex1 or mebendazole x3d or pyrantal pamaote x1 #ascariscdc.gov/dpdx/ascariasi…
#IdBoardReview 20 F pet store worker presents w/ fever, headache, nausea, vomiting, abd pain & bloody diarrhea. They got new puppies last wk. Stool gram stain shown R to macrolide & FQ. Diagnosis? #medEd#idmedEd#IDTwitter
#campylobacter Incubation period is typically 2-5days. Sx: diarrhea (frequently bloody), abdominal pain, fever, nausea, and sometimes vomiting. More severe illness can occur, including bloodstream infection and symptoms mimicking acute appendicitis or ulcerative colitis.
#idboardreview 30 F 2nd/3rd molar pain now presents w/ fever, rapid bilateral cardboard swelling of neck, mouth open w/ tongue touching the palate. Diagnosis? #medEd#idmeded#IDTwitter
#ludwigs#angina loose term for infections of sublingual, submaxillary & submandibular spaces, always bilateral, rapid indurated cellulitis w/o lymphadenopathy w/o abscess. Behind from floor of mouth
#ludwigs#angina 50-90% dental source mostly 2/3rd msndibular molars. Brawny, woody, cardboardlike submandibular swelling that doesn’t pit. Mouth open due to swelling of tongue.
#idboardreview 50 M from Australia works at wastewater treatment facility presents w/ fever, cough, dyspnea wbc10k, Na130, Tbili7, Alk270, AST75,ALT110 , LLL consolidation. diagnosis? #meded#idmedEd#idtwitter
#Legionella#longbeachae far less common species in US despite its discovery in Long Beach, California (<5% of legionellosis). L #longbeachae is endemic in Australia & New Zealand
#Legionnaires disease: CAP but more GI sx (N, V, D, abd pain), neurological sx (HA, seizure, FND, obtundation) & labs (low sodium/phosphorus, inc CPK, inc LFTs, inc inflammatory markers, myoglobinurea, microscopic hematuria & relative lymphopenia)
#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