Indiana University Infectious Diseases Fellowship
28 Nov,
8 tweets, 6 min read
#idboardreview 50 M s/p renal transplant 50 days ago, present w/ fever, seizures, pneumonia, skin lesions. Biopsy with wide ribbon aseptate hyphae, typical fruiting head on SABDX, LPCB stain. dx? #meded #idmeded #idtwitter 
Disseminated #mucormycosis due to #Cunninghamella bertholletiae Pics Ref ir.library.louisville.edu/cgi/viewconten…
#Cunninghamella bertholletiae characteristic sporangiophores with swollen terminal vesicles and ovoid sporangioles
#Mucormycosis aggressive, angioinvasive fungal infection that afflicts immunocompromised pts. Its acquired primarily via inhalation of environmental sporangiospores or via direct inoculation during trauma.
#mucormycosis most common cultured confirmed cases: #Rhizopus(47%), Mucor species(18%), #cunninghamella(7%), #apophysomyces 5%), #saksenaea (5%) #rhizomucor (4%) with other species (8%). Tx amphotericin f/b oral posa or isavuconazole if feasible
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