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Antonio Guerrero Profile picture
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Dec 31, 2022 • 3 tweets • 3 min read
An 80-YO ♂️ diabetes, ischaemic heart disease, & end stage kidney disease requiring haemodialysis:
a radio-opaque nodule in X-ray.
1/2
#radiology #Emergency #healthcare
thelancet.com/article/S0140-…
Continuous glucose monitoring device causes consternation on chest x-ray
2/2
#endocrinology #medicine
doi.org/10.1016/S0140-…
thelancet.com/article/S0140-…
The radio-opaque object had a complex internal
structure consisting of a microchip, a battery, and an
electronic circuit.

The subcutaneous continuous glucose monitoring
transmitter device had been displaced from deltoid muscle to the patient’s back.

#MedicalStudents

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More from @guerreroespejo

Antonio Guerrero Profile picture
Jan 1
7 años ♀️: acceso de tos intensa con un vómito, y dificultad respiratoria grave.

Rx tórax: lesión quística derecha con nivel hidroaéreo e imágenes ondulantes (signo del nenúfar).
1/5
DOI: 10.1016/j.anpedi.2018.03.010
#urgencias #pediatria #Radiología Image
La membrana del QUISTE HIDATIDICO ROTO flotando en el nivel hidroaéreo origina el signo del nenúfar, en la Rx de tórax.

TAC: Gran lesión quística con nivel hidroaéreo, atelectasia lobar media e inferior y desplazamiento mediastínico contralateral.
2/5
#radres #infecciosas Image
Tras la exéresis quirúrgica urgente, los estudios microbiológicos y anatomopatológicos confirmaron la etiología hidatídica del quiste.
3/5
#cirugía #parasitología
DOI: 10.1016/j.anpedi.2018.03.010 Image
Read 5 tweets
Antonio Guerrero Profile picture
Dec 30, 2022
A 3-month-old ♂️, a dimple at the center of a lumbosacral hemangioma (a): fever & deteriorating condition.

CSF: ⬆️cell count 5717/µL;⬆️protein = 352 mg/dL; ⬇️glucose < 10 mg/dL.

RM (b): ?
1/7
doi.org/10.1016/j.idcr…
#pediatric #IDtwitter #Neurology
RM b): a congenital dermal sinus communicating with the spinal cord.

Enterobacter aerogenes was isolated from CSF and stool cultures

CONGENITAL DERMAL SINUS ASSOCIATED WITH MENINGITIS BY ENTEROBACTER AEROGENES
2/7
#radiology #microbiology #pediatria
Congenital dermal sinus is associated with meningitis caused by atypical pathogens.

Enterobacter aerogenes community-acquired infections associated with congenital dermal sinus are rarely observed.
3/7
#bacteriology #MedTwitter
Read 7 tweets
Antonio Guerrero Profile picture
Dec 29, 2022
A 49-YO♀️: fever, myalgia, headache, blanching papular rash on her trunk & limbs, & conjunctivitis (1)
Neutropenia & mild hepatitis
The patient's husband accompanied the patient to the Cook Islands: a highly similar rash (2)
1/6
doi.org/10.1093/cid/ci…
#IDtwitter #microbiology
Arboviral infection was suspected.
Pan-flavivirus PCR: ➕
PCR was sequenced, & a BLAST search: ➕ for Zika virus.

ZIKA VIRUS INFECTION

The wife (and her husband): recovery over 5 days with no specific treatment.
2/ 6

doi.org/10.1093/cid/ci…
#virology #MedTwitter #MolBiol
Zika virus, endemic to Southeast Asia & Africa, is transmitted by Aedes species mosquitoes.

Clinical manifestations (fever, maculopapular rash, myalgias, and headache) are similar to other arboviral infections, such as dengue and chikungunya,
3/6
#dermatology #Doctor
Read 6 tweets
Antonio Guerrero Profile picture
Dec 28, 2022
Lactante ♀️ de 5 meses: fiebre, síntomas catarrales, buen estado general y lesiones redondeadas, algunas anulares con centro violáceo y otras en diana, algo sobreelevadas, desaparecen parcialmente a la vitropresión y de aspecto indurado
1/6
#pediatría #urgencias #MedEd
El EDEMA HEMORRÁGICO AGUDO DEL LACTANTE afecta a niños entre los 3 meses y los 2 años.
2/6
✍️B Cabezas y col
continuum.aeped.es/screens/play/1… @ContinuumAEP @aepediatria
#AtencionPrimaria #Pediatrics
@ContinuumAEP @aepediatria No tiene afectación sistémica, aunque es frecuente la aparición de fiebre.

Es una entidad benigna y el tratamiento es conservador con resolución entre 1 y 3 semanas
3/6
#IDtwitter #MedTwitter
Read 6 tweets
Antonio Guerrero Profile picture
Dec 27, 2022
82 años♂️, DM, dislipemia, y enfermedad arterial periférica: dolor torácico anginoso con semiología de insuficiencia cardiaca.
ECG:⬆️segmento ST en V2-V3 y DI-AVL.
PCR SARS-CoV-2:➕
Coronariografía: arterias coronarias sin lesiones
1/6
#cardiologia #urgencias #MedicinaInterna
Ventriculografía: fracción de eyección del ventrículo izquierdo muy reducida a expensas de acinesia apical extensa.

SÍNDROME DE TAKO-TSUBO ASOCIADO A LA INFECCIÓN POR #SARSCoV2
2/6

DOI: 10.1016/j.recesp.2020.06.022
#IDtwitter #Cardiology
El ecocardiograma confirmó los hallazgos de la ventriculografía

Rx de tórax: signos de insuficiencia cardiaca leve, sin evidencia de neumonía.

Buena evolución, con mejoría del cuadro de insuficiencia cardiaca.
3/6
#MedTwitter #Doctor
Read 7 tweets
Antonio Guerrero Profile picture
Dec 26, 2022
A 77-YO ♂️, 2 weeks before herpes zoster on the right T3 and T4 dermatomes, celecoxib to treat new-onset back pain: a coalescing, erythematous eruption that spared the skin surrounding crusted herpes zoster lesions
¼

DOI: 10.1056/NEJMicm2205584
#IDtwitter #dermatology
Skin-biopsy: consistent with a drug rash
Patch testing identified celecoxib as the trigger.

REVERSE ISOTOPIC RESPONSE in a drug rash sparing a healed herpes zoster infection.
2/4
#MedTwitter #dermtwitter #Doctor
A reverse isotopic response or an isotopic nonresponse occurs when:
✔️a new skin disorder by an unrelated disease
✔️spares the area of skin previously affected, healed dermatosis.

The mechanism of this phenomenon is unclear.
3/4
#MedStudentTwitter #resident
Read 4 tweets

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