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8 Mar, 4 tweets, 2 min read
#idtwitter 30 M on beach vacation now comes w/ rash progressive x24h, fever, headache, myalgia x3d. PE: sun exposed areas scattered confluent raised erythematous & pruritic red plaques w/ vesicles & plaques most at same stage. small ulcers+lip. Dx? #medEd #idmedEd #idtiwtter Image
actinic #varicella post sun exposure. needs airborne isolation
Actinic #varicella is a rare presentation of primary varicella zoster virus infection. Lesions may be arise in same stage unlike typical varicella
possible hypothesis for sun exposure causing #varicella: extensive exposure➡️rapid proliferation of virus into UV-irradiated areas of skin that suffer from local cutaneous inflammation ⬆️capillary permeability➡️localized eruptions.

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Indiana University Infectious Diseases Fellowship Profile picture
9 Mar
immune reconstitution inflammatory syndrome #IRIS exaggerated atypical inflammatory response following initiation of ART either paradoxical worsening or unmasking of a infection
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#idboardreview 50 M s/p heart transplant 5 yrs ago, has outdoor cats, presents w/ fever, thigh nodule, groin lymphadenopathy. diagnosis? #medEd #idmeded #idtwitter Image
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#idboardreview 25 M from Madagascar 🇲🇬 swam all life in freshwater lakes presents w/ 1wk fever, pleuritic chest pain, hemoptysis, hypoxia. CT chest shown s/p lobectomy +tissue necrosis. CT pelvis:bladder wall calcification. Diagnosis? #medEd #idmedEd #IDTwitter
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Indiana University Infectious Diseases Fellowship Profile picture
4 Mar
#idboardreview 40 pig farmer recently got abrasions to his arms and face during a hike, also had duck bite to his finger, presents w/ fever & diffuse annular body rash. Diagnosis? #medEd #idmedEd #idtwitter ImageImage
Gram-positive facultative anaerobe rod #Erysipelothrix rhusiopathiae. Mainly an occupationally acquired zoonosis transmitted by feces, water, soil, or food scraps contaminated by a wide variety of mammals, birds, and fish
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#idboardreview 40 F returned from Europe 2 wks ago, has been tired, now w/ F & rash on face quickly spread to trunk & legs involves palms & soles. Pharyngeal erythema, leukopenia, thrombocytopenia, mild transaminitis. Diagnosis? #medEd #idmedEd #IDtwitter Image
#measles negative-stranded RNA virus that belongs to the genus ‘Morbillivirus’, hence the term morbilliform rash
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#idboardreview 2 kidney transplant recipients post day 20 present w/ altered mental status, neutrophilic pleocytosis, MRI ring enhancing lesion. No improvement on abx & antivirals. Same donor died w/ dx of ADEM/exposure to wading pool. Diagnosis? #medEd #idmesEd #idtwitter
#Balamuthia mandrillaris cdc.gov/mmwr/preview/m…
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