#amebiasis trophozoites motile & vared size 15-30µm. Single nucleus is round w/ central karyosome &even distribution of chromatin granules around nuclear membrane. Ingested erythrocytes maybe in cytoplasm. Cysts (15-20µm)1-4 nuclei. Round chromatoidal bars maybe in cytoplasm.
Infected pt #entamoeba histolytica pass noninfectious trophozoites & infectious cysts
Infection spread when cysts in stool are ingested in contaminated food or water
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#idboardreview 60 F recent travel to Cairns, Australia, had multiple🦟 bites, 1wk later fever, fatigue, headache, myalgia & arthralgia of hands, wrists, feet & ankles. +itchy papular rash on her face, neck and trunk.Dx? #meded#idmeded#IDTwitter
#Burkholderia#cepacia is type species of genus Burkholderia & ubiquitous MDR, motile, non–glucose-fermenting, gram-negative organism found in water & soil. Major pathogen in cystic fibrosis & opportunistic pathogen in pts w/ indwelling medical devices & immunosuppression
#idboardreview 60 M 6 months post heart transplant on atovaquone px presents w/ cough, dyspneax10d. CT b/l nodules w/ cavities, l leg mass aspirated. Dx? #meded#idmeded#IDTwitter
#idboardreview Pt w/ LE venous insufficiency found in his camper unconscious and covered in feces and maggots: septic shock, wbc 35k, Cr 6, blood culture w/ gram negative non-motile bacteria. Dx? #meded#idmeded#idtwitter
#Wohlfahrtiimonas#chitiniclastica was first identified in culture from the third-stage larvae of Wohlfahrtia magnifica flies which are known to cause myiasis, commonly in sheep and cattle
#idboardreview 50 M Texan welder w/ diarrhea, cough, dyspnea x2d, presented to ED, sepsis and rapid progression to resp fail & death <8hrs after presentation. CT necrotizing pneumonia. +GPR #idtwitter#meded#idmeded