👧22 meses, finca familiar con muchas moscas: secreción conjuntival y ojo derecho rojo de 2-3 semanas con algo que se mueve. No refieren viajes al extranjero
En canto externo de ojo D, nematodos en movimiento (vídeo)
1/3
continuum.aeped.es/screens/play/1…
#pediatria #ophthalmology
TELAZIOSIS OCULAR
Thelazia callipaeda es un nematodo y la causa más frecuente de telaziosis en humanos, perros y gatos.
Produce sensación de cuerpo extraño, epífora, conjuntivitis y úlceras corneales.
Tratamiento: extracción manual de los parásitos
2/3

#pediatric #parasitology
Los cánidos salvajes y domésticos son los principales hospedadores definitivos.
La mosca de la fruta Phortica variegata: vector y hospedador intermedio.
3/3

🖋️Martín Valbuena J
#MedEd #IDtwitter #MedTwitter

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More from @guerreroespejo

Jul 16
3 cause of eosinophilic #meningitis:
1⃣Angiostrongylus,
2⃣Baylisascaris, and
3⃣Gnathostomiasis.

#MedEd #IDTwitter
1) Angiostrongylus cantonensis: a common cause of human eosinophilic meningitis (neural angiostrongyliasis) and occasionally ocular disease.

#neurology #IDtwitter #MedTwitter
2) Baylisascaris procyonis, the raccoon roundworm, is a rare but serious cause of neurologic and ocular disease in humans.

#neurology #IDtwitter #MedTwitter
Read 4 tweets
Jul 14
#Monkeypox outbreak in #England

Potential levels of the outbreak in England: Level 2 (transmission within a defined sub-population).

Geographic spread: cases are concentrated in London (74% of cases)
1/
👇
gov.uk/government/pub…
Of cases with information:
✔️97% (681 out of 699) are in gay, bisexual and men who have sex with men (GBMSM)
✔️More than half had history of STI in the last year
✔️30% (123) were living with HIV
✔️31% (134) had 10 or more sexual partners in the last 3 months
2/

#MonkeypoxVirus
There have been 4 female cases and one child (under 16) in 2022 in England.

Outside the UK, 3 confirmed cases in children have recently been reported in Europe and this signal requires close monitoring.
3/

#MonkeyPox #MonkeypoxVirus
Read 6 tweets
Jun 12
Monkeypox virus clearly is endemic in #Nigeria.
Cases occur sporadically throughout the year and across the country except to the far northeast.

#Monkeypox cases continue to occur in Nigeria this year (2022): 110 suspected and 31 confirmed cases
1/
👇
ncdc.gov.ng/diseases/sitre…
The above report does not indicate which of the 2 clades of #MonkeypoxVirus are responsible for the cases.

The reported case fatality rate of 3.6% is higher than the usual 1% for the West African clade but lower than the up to 10% for the Central African clade.
2/

#Nigeria
The report does not indicate if the reported cases are due to person-to-person transmission or to contact with infected wild mammals.

#monkeys are not the reservoirs of the virus, despite the name that the virus has received.
3/
Read 5 tweets
Jun 12
Unprecedented case series advances promise of #phage therapy
👇
Phage Therapy of #Mycobacterium Infections: Compassionate-use of Phages in 20 Patients with Drug-Resistant Mycobacterial Disease
1/
academic.oup.com/cid/advance-ar…
@MariadelMarTom
Treatment of Non-tuberculous Mycobacterium could be challenging due to intrinsic antibiotic #resistance. Bacteriophage therapy represents a potentially novel approach.
2/
Phages were administered intravenously, by aerosolization, or both to 20 patients
Favorable clinical or microbiological responses were observed in 11 patients.
3/
Read 5 tweets
Jun 8
A 26-YO👩‍🦰, sexually active: 1-month of right knee and metacarpal arthralgia, tenosynovitis & pustules on her hand, developed an enlarging chest wall mass.

CT: an abscess on her chest wall, requiring drainage.
1/4

DOI: doi.org/10.1503/cmaj.2…
#IDTwitter #MedEd Image
Urine gonococcal nucleic acid amplification test: ➕ was positive,
16S rRNA with gene sequencing of wall fluid:➕for Neisseria gonorrhoeae.

DISSEMINATED GONOCOCCAL INFECTION

Ceftriaxone IV stopped after the abscess had resolved
2/4

#MedicalStudents #microbiology
Neisseria gonorrhoeae is transmitted mainly through unprotected vaginal, anal and oral intercourse
3/4

#MedTwitter #MedStudentTwitter
Read 4 tweets
Jun 7
Lactante 4 meses, dermatitis atópica, su hermana con laringitis aguda: erupción papulosa de evolución a costras en 1 día, predominando sobre placas de eccema preexistentes.

Se inician en el tronco, incluyen cabeza, área del pañal y vesículas en boca.
1/5

#pediatria #Pediatrics
PCR (para herpesvirus y enterovirus):➕para enterovirus Coxsackie A6

ECCEMA COXSAKIUM

El A6 produce también: erupción vesículo-bullosa erosiva, cuadro Gianotti-Crosti-like y rash purpúrico-petequial

✒️Martín A y col continuum.aeped.es/screens/play/5… @aepediatria #dermatology
2/5
@aepediatria El eccema coxsackium puede producir fiebre con pápulas, vesículas y costras confluyentes en región peribucal, cuello, tronco, antebrazos, pantorrillas y dorso de manos y pies.

Generalmente, una enfermedad autolimitada con buen pronóstico.
3/5

@ContinuumAEP #Pediatrics
Read 5 tweets

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