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27 Nov, 9 tweets, 5 min read
#idboardreview 25 F w/ gross hematuria x 1 mo. Previous remote travel to Kenya & swimming in fresh water lake +eosinophilia, thickening of bladder. Sandy patches appearance in cystoscopy. #IDtwitter #idmeded #meded ImageImage
#Schistosoma #haematobium Ref ncbi.nlm.nih.gov/pmc/articles/P…
Morbidity caused by #schistosome infections is induced by host reaction to eggs of Schistosoma rather than by adult worm itself. Hematuria is classic symptom of urogenital schistosomiasis & often w/urinary frequency, burning micturition, and suprapubic pain or discomfort
#schistosoma
Sandy patches appearance, mucosal nodularity, is one of cystoscopic findings for urinary #schistosomiasis

If submucosa is involved, fibrosis or calcification affects contraction resulting in hypertonic/atonic bladder

calcification of ureter bladder wall due to calcified eggs
Praziquantel as a single dose (40 mg/kg/day) is effective for #urogenital #schistosomiasis
#schistosomiasis graphic guide to ID: Kloss Image
#schistosoma
#schistosoma

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Indiana University Infectious Diseases Fellowship Profile picture
9 Dec
#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 Image
#RossRiverVirus Ref eurosurveillance.org/content/10.280…
#RossRiverVirus @CDCgov cdc.gov/ross-river-vir…
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8 Dec
#idboardreview Peritoneal dialysis pts with exit site infection outbreak. Aqueous Chlorhexidine with gram negative bacteria. dx? #meded #idmeded #idtwitter ImageImage
#Burkholderia #cepacia wwwnc.cdc.gov/eid/article/26…
#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
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Indiana University Infectious Diseases Fellowship Profile picture
7 Dec
#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 ImageImage
#Nocardia #ignorata wwwnc.cdc.gov/eid/article/26…
Risk factors of #nocardia in #SOT

high calcineurin inhibitor trough levels in month before dx

use of tacrolimus

corticosteroid dose at time of dx

patient age

length of stay in ICU after SOT

academic.oup.com/cid/article/63…
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Indiana University Infectious Diseases Fellowship Profile picture
6 Dec
#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 Image
#Wohlfahrtiimonas #chitiniclastica bacteremia Ref wwwnc.cdc.gov/eid/article/27… in this case identified w/ MALDI-TOF; Image Ref jgid.org/article.asp?is…
#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
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Indiana University Infectious Diseases Fellowship Profile picture
5 Dec
#idboardreview 60 F with Myelodysplastic syndrome presents w/ L knee pain, rash on unilateral sole, PET: L iliac artery uptake. Knee fluid 80k 98% PMN, gram stain gram negative cocobacilli. dx? #meded #idmeded #idtwitter ImageImage
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#Kingella kingae gram-negative coccobacillus,normal flora of upper respiratory tract. Causative agent of osteoartricular infections in kids<4 years. Rarely HACEK IE in adults
R.f poor oral hygiene, pharyngitis, & mucosal ulcerations
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Indiana University Infectious Diseases Fellowship Profile picture
4 Dec
#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 ImageImage
#Bacillus #cereus causing #anthrax #pneumonia cdc.gov/mmwr/volumes/7…
#bacillus #pneumonia imaging Ref bccdc.ca/health-info/di… semanticscholar.org/paper/Bacillus…
Read 10 tweets

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