9 años ♂️, dermatitis atópica tratada con metrotexato: lesiones vesiculosas en pulgar izq., ganglio axilar izq., y aftas en boca.
1/8

✍️@Mercede49161978, D. Mora, M. Díaz
continuum.aeped.es/courses/info/1…
@ContinuumAEP @aepediatria
#pediatría #dermatología
@Mercede49161978 @ContinuumAEP @aepediatria Cultivo exudado de vesículas:➕ para VHS tipo 1.

PANADIZO HERPÉTICO

Recibió aciclovir
2/8

#MIR #AtencionPrimaria
@Mercede49161978 @ContinuumAEP @aepediatria El panadizo herpético empieza con sensación de hormigueo, y puede causar dolor intenso, eritema y edema del dedo; en ocasiones, fiebre y adenopatía.

Aparecen vesículas coalescentes en la falange, generalmente después de 2 o 3 días de comenzado el dolor.
3/8

#infecciosas
@Mercede49161978 @ContinuumAEP @aepediatria El dolor intenso puede simular un panadizo común, pero el panadizo herpético se diferencia por la ausencia de tensión en la pulpa o por la presencia de vesículas.
4/8

#urgencias
@Mercede49161978 @ContinuumAEP @aepediatria El panadizo herpético también puede imitar a otras infecciones virales en la mano (p. ej., el virus coxsackie) o a una paroniquia.
5/8

#Doctor
@Mercede49161978 @ContinuumAEP @aepediatria La incisión y el drenaje están contraindicados para evitar sobreinfección.
6/8

#cirugía
@Mercede49161978 @ContinuumAEP @aepediatria Suelen producirse por autoinoculación en casos de gingivoestomatitis herpética o herpes labial.

La afección es autolimitada, pero puede recidivar.
7/8

#virología
@Mercede49161978 @ContinuumAEP @aepediatria El aciclovir tópico o sistémico puede acortar la duración de un primer episodio y controlar las manifestaciones de la recidiva si se administra inmediatamente después del comienzo de los síntomas
Las vesículas abiertas deben cubrirse para prevenir la transmisión.
8/8
#medicina

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Antonio Guerrero

Antonio Guerrero Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @guerreroespejo

Jan 24
A 24-YO♀️: a 10-year of episodes of redness & photophobia in eyes, &⬇️visual acuity
SLE: conjunctival hyperemia & peripheral corneal opacification, inflammation & crystalline deposits on the corneal
⬇️
INTERSTITIAL KERATITIS
1/5

DOI: 10.1056/NEJMicm1709103
#eye #internalmedicine
Etiologies:
✔️Bacterial: SYPHILIS, Lyme borreliosis, tuberculosis, etc.
✔️Viral: Herpesviridae (HERPES SIMPLEX, H. zoster, E-B)...
✔️Parasitic: Onchocerciasis, Acanthamoeba...
✔️Immune: Cogan's syndrome, contact lens-associated keratitis, autoimmune disease…
2/5

#microbiology
ESR:⬆️& evaluation for infectious causes: unremarkable.
6 months after the diagnosis of interstitial keratitis: vertigo, tinnitus, & hearing loss.
Audiometry: sensorineural hearing loss in both ears.
Clinical findings consistent with COGAN´S SYNDROME
3/5

#Ophthalmology #MedEd
Read 5 tweets
Jan 23
6 años ♀️, de Marruecos: lesión en la extremidad superior derecha y otra en extremidad inferior izquierda de 7 meses de evolución, indoloras.
1/6

✍️ I Santacreu & @ayats_roser
continuum.aeped.es/screens/play/1…
#pediatría #AtencionPrimaria
@ContinuumAEP @aepediatria
@ayats_roser @ContinuumAEP @aepediatria LEISHMANIASIS CUTÁNEA

Recibió antimoniato de meglumina intralesional.
Buena evolución quedando una atrofia residual en el lugar de las lesiones.
2/6

#dermatología #parasitología
@ayats_roser @ContinuumAEP @aepediatria La leishmaniasis se manifiesta con formas cutáneas, mucosas y viscerales

Está causadas por varias especies de protozoos del género Leishmania.
3/6

#medicinainterna #MIR
Read 6 tweets
Jan 21
A 64-YO ♂️ from a rural community: pain, itching, bleeding in the L ear, & mobile larvae occluding the L external auditory canal
1/4

DOI: 10.1056/NEJMicm2005407
#primarycare #Otolaryngologist Image
AURAL MYASIS
An ear aspirator, forceps, and irrigation with sterile water were used to remove the larvae
Perforation of the tympanic membrane was identified.
2/4

DOI: 10.1056/NEJMicm2005407
#healthcare #parasitology Image
Aural myiasis:
📌infestation of the middle or external ear
📌by fly larvae of the order Diptera.

Risk factors:
✔️chronic otitis media,
✔️diabetes mellitus, and
✔️impaired hygiene.
3/4

DOI: 10.1056/NEJMicm2005407
#Otolaryngology #parasites
Read 4 tweets
Jan 20
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
Read 6 tweets
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

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(