A 20-YO ♀️, college wrestling, Mexico: itching in the past 2 months, erythematous & fine-scaling papules with annular plaques having a raised border affecting the face, neck, & torso.
1/6

doi: 10.18502/cmm.6.4.5439
#dermatology #primarycare #MedTwitter
KOH: multiple thin & septate hyphae.
🧫, MALDI-TOF-MS: Trichophyton tonsurans
T. tonsurans was isolated in 4 cases belonging to the school fighting team & from one of the training mats

TINEA GLADIATORUM DUE TO TRICHOPHYTON TONSURANS IN A SCHOLL WRESTLING TEAN
2/6

#mycology
Oral terbinafine for 3 weeks: clinical & mycological cure.
Tinea gladiatorum is a type of dermatophytosis that occurs in combat athletes, such as wrestlers and judo fighters, as a result of Trichophyton species.
3/6

doi: 10.18502/cmm.6.4.5439
#IDtwitter #microbiology #Doctor
Tinea gladiatorum, is a common dermatophytosis in gladiators or fighters.

Trichophyton tonsurans, an anthropophilic dermatophyte, is the most common etiologic agent of this infection
4/6

#MedStudentTwitter #resident #medicine
Trichophyton tonsurans is transmitted by human-to-human contact.

However, this disease can also be acquired through fomites (e.g., combs, clothing, razors and practice mattresses).
5/6

#MedicalStudents #MedEd #dermtwitter
Clinical picture includes:
📌erythematous-squamous plaques
📌with a raised and itchy border,
📌mainly affecting the head, neck, and arms, and rarely the lower limbs
6/6

#healthcare #emergency

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More from @guerreroespejo

Jan 15
A 38-YO♂️, #HIV➕: asthenia, fever, & generalized & confluent maculopapular rash predominantly on the back, cervical & inguinal lymphadenopathies, & stippled petechial hemorrhages in the soft palate (Forchheimer’s spots)
Subsequently, pustules appeared

1/5
#emergency #IDtwitter
Classic Mpox pustules appeared
PCR:
✔️for measles & rubella➖
✔️for Mpox➕

HUMAN Mpox, although confluent maculopapular rash & Forchheimer’s spots have been reported as classic signs of rubella or measles infections
2/5

DOI: doi.org/10.4269/ajtmh.…
#microbiology #MedTwitter
Forchheimer spots, a type of enanthem:
📌sometimes precede the skin rash of rubella.
📌tiny red spots on the soft palate in rubella, measles and scarlet fever.
3/5

#dermatology #internalmedicine #primarycare
Read 5 tweets
Jan 13
A 27-YO ♀️, fever and PCR + for #SARSCoV2: One week later, she developed migratory, pruritic urticarial erythematous plaques (wheals) on her face, limbs, trunk, palms & soles, and angioedema of her lips.
¼

DOI: doi.org/10.1503/cmaj.2…
#dermtwitter #IDtwitter #MedTwitter
Treated with cetirizine, 12 weeks later, she was still having episodes of urticaria
The most likely diagnosis was CHRONIC SPONTANEOUS URTICARIA TRIGGERED BY SARS-CoV-2, but other considerations were urticarial vasculitis and chronic inducible urticaria.
2/4

#dermatology #Doctor
Urticaria is commonly triggered by viral & bacterial infections, including herpes simplex virus, cytomegalovirus, Epstein–Barr virus, HIV & mycoplasma.

It commonly precedes or occurs concurrently with COVID-19, but can rarely occur after symptoms have resolved.
3/

#virology
Read 4 tweets
Jan 11
A 32-YO♀️ from Guatemala, Ph+ B-ALL post #chemotherapy: #dyspnea
CT: ground-glass opacities (2A yellow box), interstitial pulmonary edema with septal thickening (2B yellow circles), & pericardial effusion (2C yellow arrows), lymph nodes (2D yellow arrows)
Eosinophilia
1/7
Due to normal ejection fraction, the differential diagnosis of dyspnea included non-cardiogenic pulmonary edema, pneumonitis secondary to chemotoxicity, and infection.
2/7

doi.org/10.1016/j.idcr…
#haematology #radiology #IDtwitter
She progressed to acute hypoxic respiratory failure.

🔬bronchoalveolar lavage: numerous larvae (3A,3B) with short buccal grove (arrow head) and prominent genital primordium (arrow) consistent with STRONGYLOIDES HYPERINFECTION

3/7
#lungdisease #parasitology #Pathologists
Read 7 tweets
Jan 9
A 4-YO♂️ treated for tuberculosis for 3 years with chronic cough, kyphosis, recurrent pneumonia, rib osteomyelitis: lung consolidation, mediastinal lymphadenopathy, cervical kyphosis; R-sided paravertebral soft tissue swelling (T3 to T6)
1/7

#IDtwitter #radiology #Orthopedics
Serology: ➕for Aspergillus flavus & Aspergillus fumigatus.
Aspiration of the paravertebral soft tissue:
🔬granulomatous inflammation
🧫Acinetobacter spp.

VERTEBRAL OSTEOMYELITIS & ACINETOBACTER SPP PARAVERTEBRAL SOFT TISSUE INFECTION
2/7

#microbiology #MedTwitter
Nitroblue tetrazolium dye reduction test: no reduction of the nitroblue tetrazolium
No right shift noted in the activated neutrophils in flow cytometry-based DHR assay (E, patient; F, control)

CHRONIC GRANULOMATOUS DISEASE
3/7

DOI: 10.1097/INF.0000000000001221
#medicine
Read 6 tweets
Jan 8
A 24-YO ♂️ 2 years prior bitten by an insect on his left mid-arm in Nicaraguan: within a week, developed a lesion at the site of the bite; over time increased in number and spread in multiple hyperkeratotic, wart-like papules.
1/8

doi.org/10.1093/cid/ci…
#IDtwitter #dermatology
Wet mount slide from cultures of biopsy using rabbit blood agar slant: aggregates of Leishmania promastigotes (arrow), which can be identified based on their elongated shape and flagella.

CUTANEOUS LEISHMANIASIS
2/8

doi.org/10.1093/cid/ci…
#parasitology #MedTwitter
Biopsy cultures in “triple N” media, PCR and DNA sequencing: Leishmania panamensis.

He received a 10-day course of intravenous liposomal amphotericin B. His lesions slowly regressed over 3 months.
3/8

doi.org/10.1093/cid/ci…
#Doctor #microbiology
Read 8 tweets
Jan 7
11 años ♀️, enrojecimiento del ojo D e inyección conjuntival (fig. 1), tobramicina en colirio: A los 9 días presenta un orzuelo palpebral inferior del mismo ojo (fig. 2)
1/2

✍️B Rodríguez y @mpraena
continuum.aeped.es/courses/info/6…
@ContinuumAEP @aepediatria
#pediatria #oftalmologia
La conjuntivitis o QUERATOCONJUNTIVITIS FLICTENULAR representa una reacción de hipersensibilidad frente a antígenos.

Se caracteriza por la formación de pequeñas lesiones circunscritas, nódulos (flicténulas), en el limbo corneal dentro de la conjuntiva y/o la córnea
2/5

#MedEd
Puede producir lagrimeo intenso, fotofobia, visión borrosa, molestias y sensación de cuerpo extraño.

La asociación de un orzuelo en este paciente sugiere que Staphylococcus aureus fuera la etiología más probable.
3/5

#microbiology #MedTwitter
Read 5 tweets

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