Images of Infectious Diseases
This is middle turbinate of a 64 ICH with epistaxis s/p CAR-T for refractory diffuse large B cell lymphoma.
What is your DDx? #MayoIDQ next
This is middle turbinate of a 64 ICH with epistaxis s/p CAR-T for refractory diffuse large B cell lymphoma.
What is your DDx? #MayoIDQ next
64M refractory DLBCL
s/p CAR-T —> cytokine release syndrome Rx tocilizumab and steroids
CC: epistaxis x 2w
PE: lesion in hard palate; nasal endoscopy (photo). CT dense material in sinuses.
What is next best step?
s/p CAR-T —> cytokine release syndrome Rx tocilizumab and steroids
CC: epistaxis x 2w
PE: lesion in hard palate; nasal endoscopy (photo). CT dense material in sinuses.
What is next best step?
3/
Biopsies from left hard palate and nasal cavity lesions were obtained (photo). Culture: Fusarium sp.
Suggested answer: ENT surgery for biopsy / diagnostics + debridement
Often: diagnostics and empiric Rx are concurrent in real life.
Biopsies from left hard palate and nasal cavity lesions were obtained (photo). Culture: Fusarium sp.
Suggested answer: ENT surgery for biopsy / diagnostics + debridement
Often: diagnostics and empiric Rx are concurrent in real life.
4/
Case diagnosis: invasive Fusariosis in ICH after CAR-T for refractory DLBCL
Initial empiric Rx: LAmB + voriconazole
Case reported by @S_Chesdachai and ID fellow colleagues
We feature their report today for our #ScholarlySunday series
Case diagnosis: invasive Fusariosis in ICH after CAR-T for refractory DLBCL
Initial empiric Rx: LAmB + voriconazole
Case reported by @S_Chesdachai and ID fellow colleagues
We feature their report today for our #ScholarlySunday series
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