Images of Infectious Diseases
A young man presents to the ER because of leg numbness. While undergoing evaluation, he had a seizure. CT head is shown (photo). #IDTwitter what is your differential diagnosis?
Case details #MayoIDQ MCQ to follow…
A young man presents to the ER because of leg numbness. While undergoing evaluation, he had a seizure. CT head is shown (photo). #IDTwitter what is your differential diagnosis?
Case details #MayoIDQ MCQ to follow…
2/
36M migrant from Mexico
No PMH. HIV negative.
CC: leg numbness
ED: witnessed seizure
WBC 16. Cr 0.7. AST 35.
CT (photo)
Which one of the following is least likely the correct answer about this condition? #MayoIDQ
36M migrant from Mexico
No PMH. HIV negative.
CC: leg numbness
ED: witnessed seizure
WBC 16. Cr 0.7. AST 35.
CT (photo)
Which one of the following is least likely the correct answer about this condition? #MayoIDQ
3/
Case diagnosis: #Neurocysticercosis NCC due to #Taenia #solium
There was an almost equal spread in the answers (probably due to poorly constructed MCQ :-) )
The least likely correct association is undercooked pork…. which leads to #taeniasis but not directly to NCC
Case diagnosis: #Neurocysticercosis NCC due to #Taenia #solium
There was an almost equal spread in the answers (probably due to poorly constructed MCQ :-) )
The least likely correct association is undercooked pork…. which leads to #taeniasis but not directly to NCC
4/
#Taeniasis vs. #cysticercosis depends on mode of acquisition.
Ingest cyst —> intestinal taeniasis
Ingest egg —> cysticercosis (including NCC)
Suggested MCQ answer:
undercooked pork —> leads to #Taeniasis and not #neurocysticercosis
#Taeniasis vs. #cysticercosis depends on mode of acquisition.
Ingest cyst —> intestinal taeniasis
Ingest egg —> cysticercosis (including NCC)
Suggested MCQ answer:
undercooked pork —> leads to #Taeniasis and not #neurocysticercosis
5/
#Neurocysticercosis
Diagnostics
IDSA recommends serologic testing with enzyme-linked immunotransfer blot as a confirmatory test
Brain MRI and a noncontrast CT scan for classifying patients with neurocysticercosis
#Neurocysticercosis
Diagnostics
IDSA recommends serologic testing with enzyme-linked immunotransfer blot as a confirmatory test
Brain MRI and a noncontrast CT scan for classifying patients with neurocysticercosis
6/
Ocular cysticercosis is a form of extraparenchymal neurocysticercosis
Ophthalmologic examination is suggested in all patients with #neurocysticercosis to check for possible ocular cysticercosis.
Hyperinflmmatory reaction during anti parasite Rx could be sight threatening
Ocular cysticercosis is a form of extraparenchymal neurocysticercosis
Ophthalmologic examination is suggested in all patients with #neurocysticercosis to check for possible ocular cysticercosis.
Hyperinflmmatory reaction during anti parasite Rx could be sight threatening
7/
#Neurocysticecosis Rx
1–2 viable parenchymal cysticerci: albendazole monotherapy for 10–14 days
>2 viable parenchymal cysticerci: albendazole (15 mg/kg/day) combined with praziquantel (50 mg/kg/day) for 10–14 days (this was used in this case)
#Neurocysticecosis Rx
1–2 viable parenchymal cysticerci: albendazole monotherapy for 10–14 days
>2 viable parenchymal cysticerci: albendazole (15 mg/kg/day) combined with praziquantel (50 mg/kg/day) for 10–14 days (this was used in this case)
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