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Antonio Guerrero

@guerreroespejo

Jul 16

https://twitter.com/febrilepodcast/status/1443221240823435266

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

#MedEd #IDTwitter

https://twitter.com/febrilepodcast/status/1443221240823435266

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

Antonio Guerrero

@guerreroespejo

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

Antonio Guerrero

@guerreroespejo

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

Antonio Guerrero

@guerreroespejo

Jun 12

@MariadelMarTom

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

Antonio Guerrero

@guerreroespejo

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

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

Antonio Guerrero

@guerreroespejo

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

@aepediatria

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

@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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