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4 Sep, 4 tweets, 2 min read
Weekend Digest
Name the pathogen!

5 Clues:
Rodents.
Triathlon.
Conjunctival suffusion.
Jaundice.
Jarisch-Herxheimer. Image
2/
 #Leptospira

Spiral-shaped bacteria

Zoonotic: rodents important reservoir

Enters though skin breaks, mucosa, conjunctiva

Freshwater. Floodwater. Rainfall.

Recreational water activities. Triathlon. Swimming. Wading.

Rice farmers. Abattoir workers.
3/
 #Leptospirosis
Acute febrile bacteremic phase —> immune phase

Constitutional: fever, myalgia, arthralgia

Conjunctival suffusion
Jaundice
Renal failure
Rhabdomyolysis
CNS and other organ involvement
4/
 #Leptospirosis
Dx
PCR
Serology
Culture

Rx: doxycycline / azithromycin / ceftriaxone / IV PCN

Jarisch–Herxheimer reaction: abrupt onset of F/C, HA, tachycardia, hyperventilation, flushing, and hypotension 1–2h after Rx with penicillin or other antimicrobial agents

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Name the Pathogen

5 Clues:

- #Chitlins
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- Reactive #arthritis
- Terminal #ileitis Image
2/
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When #IDBR says #chitlins (#chitterlings), you say Y. enterocolitica

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ncbi.nlm.nih.gov/pmc/articles/P…
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46F with uncontrolled DM and recent DKA is admitted because of left sided HA for a month. PE: orbital apex syndrome. Head imaging shown. ENT/neurosurgery proceeded with debridement. Pathology shown. Which one of the following choices is most correct?
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Name the pathogen

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GNB with musty odor
Clenched fist injury
Culture negative endocarditis
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Component of polymicrobial infection related to human bites.

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Name the pathogen.

Pain and discomfort when you pee
But Hans Christian Gram cannot see
Try to kill me with Doxy
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 #Mycoplasma #genitalium

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Fellows, this is #IDBR material, definitely!
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Many infections are asymptomatic!
Don’t forget: rectal / pharyngeal infection
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“Food gets stuck in my Adam’s apple”

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2 months after visiting family and friends in Manila:

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