#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
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

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Indiana University Infectious Diseases Fellowship

Indiana University Infectious Diseases Fellowship Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @IUIDfellowship

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
#Mycobacterium #marinum slow growing #NTM in fresh or saltwater environment. Cutaneous infect due to direct inoculation of a cut w/ organism & subsequent exposure to contaminated water. can be nodular, pustular, or ulcerated & infection of deeper tissues, joints, & bone can occur
Read 9 tweets
9 Mar
immune reconstitution inflammatory syndrome #IRIS exaggerated atypical inflammatory response following initiation of ART either paradoxical worsening or unmasking of a infection
#IRIS memory T cells are redistributed from lymphoid tissue to organs, and the number of CD4+ and CD8+ T cells increases faster than that of regulatory T cells, resulting in an imbalance in the immune system
#Histoplasmosis-associated #IRIS rare with an estimated incidence rate of 0.74 cases per 1000 HIV-infected person-years and may present months after initiation of ART
Read 8 tweets
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
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
Read 4 tweets
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
#bartonella Immunosuppressed pts: risk for dissemination. Solid organ transplantation: increased frequency of cases in renal transplant recipients, followed by liver, then lung and heart transplant recipients
Read 7 tweets
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
Read 14 tweets
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
#erysipelothrix is acquired through puncture wounds & scratches of the skin. Occupational zoonosis of butchers, veterinarians, and fishermen. Most important reservoir is healthy domestic swine, up to half of which harbor it their tonsils
Read 9 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!