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11 Mar, 5 tweets, 3 min read
#idboardreview 30 Australian 🇦🇺 sheep 🐑 farmer 👨‍🌾 w/ 2 wks of fatigue & epitrochlear lymphadenitis. Biopsy necrotic granuloma. Diagnosis? #medEd #idmedEd #IDtwitter
#Corynebacterium #pseudotuberculosis are frequent in sheep and goats. Few case reports in humans
onlinelibrary.wiley.com/doi/full/10.11…
academic.oup.com/cid/article/24…
Subacute or chronic relapsing lymphadenitis: #corynebacterium #pseudotuberculosis most cases reported from Australia. Extensive contacts w/animals sheep. Histology: necrotizing or suppurative granuloma. Tx prolonged abx erythromycin or penicillin+surgical drainage or excision

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Indiana University Infectious Diseases Fellowship Profile picture
10 Mar
#IdBoardReview 30 pt w/ RA on TNFblocker non-healing lesion of finger x several months. Original trauma cut by stone in pond. no improvement w/ courses of cephalexin or clindamycin. S/p I&D growth in 14d. Dx? #medEd #idmedEd #IDtwitter
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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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Indiana University Infectious Diseases Fellowship Profile picture
8 Mar
#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
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Indiana University Infectious Diseases Fellowship Profile picture
7 Mar
#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
#Bartonella henselae gram neg bacilli. Human infection is typically associated with cat and flea exposure, particularly young cats. Immunocompetent: typically localized, self-limited lymphadenitis near site of inoculum, cat scratch disease
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Indiana University Infectious Diseases Fellowship Profile picture
5 Mar
#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
#Schistosomiasis #haematobium helminthic infect 235 million people globally w/ 200k deaths annually
2 major #Schistosoma species in Africa S. mansoni (GI) & S. haematobium (GU). Both species are endemic to Madagascar, where S. mansoni in eastern, central, southern regions & S. haematobium predominant in northwest & west coast. Both species coexist in certain irrigated regions
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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
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