Indiana University Infectious Diseases Fellowship Profile picture
@IUMedSchool @IUSMDeptMed #IDMedEd PD @sairabt APD @ecoleID #IDtwitter #IDBoardReview https://t.co/ASEPmWK551
Rana Profile picture Sarah Owens Profile picture Vitor Laerte Profile picture Kavit Shastri Profile picture Ramla Profile picture 7 added to My Authors
Mar 22 5 tweets 3 min read
#IdBoardReview Amazonian farmer w/ multiple skin nodules of L leg x20+yrs (which itch & bleed frequently)started post penetrating injury w/ thorn of a plant. biopsy chronic granulomatous process: dermis w/ thick walled round fungi forming single chains. #IDTwitter #meded #lobomycosis Ref ajtmh.org/view/journals/…
Mar 20 5 tweets 3 min read
#idboardreview Pt recent travel to Malaysia, spend time on the beach now w/ this itchy rash x2wks. Also w/ cough, occasional dyspnea, eosinophilia, ill defined reticulonodular infiltrates on chest CT #idtwitter #idmeded #MedEd cutaneous larva migrans (#CLM) with #Löeffler’s syndrome. Tx w/ albendazole x7d and symptoms resolved Ref ajtmh.org/view/journals/…
Jan 14 5 tweets 4 min read
#idboardreview 80 M originally from Philippines w/ yearly travel there, presents w/ fever, abd pain, chills, inc LFTs, +liver abscess. BC+ organism? #meded #idmeded #idtwitter hypervirulent #klebsiella pneumoniae liver abscess Ref academic.oup.com/ofid/article/7…
Jan 13 9 tweets 5 min read
#idboardreview 40 M originally from Cameroon, also travel to Ghana & Mali, now w/6 mo progressive weakness requiring wheelchair use,lethargy, 30lb wt loss, confusion. CSF lymphocytic pleocytosis. dx? #meded #idmeded #IDtwitter Human African #trypanosomiasis endemic to sub-Saharan Africa & fatal when untreated. parasite Trypanosoma #brucei transmitted by tsetse fly (Glossina spp) vector
Dec 9, 2021 6 tweets 4 min read
#idboardreview 60 F recent travel to Cairns, Australia, had multiple🦟 bites, 1wk later fever, fatigue, headache, myalgia & arthralgia of hands, wrists, feet & ankles. +itchy papular rash on her face, neck and trunk.Dx? #meded #idmeded #IDTwitter Image #RossRiverVirus Ref eurosurveillance.org/content/10.280…
Dec 8, 2021 7 tweets 5 min read
#idboardreview Peritoneal dialysis pts with exit site infection outbreak. Aqueous Chlorhexidine with gram negative bacteria. dx? #meded #idmeded #idtwitter ImageImage #Burkholderia #cepacia wwwnc.cdc.gov/eid/article/26…
Dec 7, 2021 7 tweets 4 min read
#idboardreview 60 M 6 months post heart transplant on atovaquone px presents w/ cough, dyspneax10d. CT b/l nodules w/ cavities, l leg mass aspirated. Dx? #meded #idmeded #IDTwitter ImageImage #Nocardia #ignorata wwwnc.cdc.gov/eid/article/26…
Dec 6, 2021 5 tweets 5 min read
#idboardreview Pt w/ LE venous insufficiency found in his camper unconscious and covered in feces and maggots: septic shock, wbc 35k, Cr 6, blood culture w/ gram negative non-motile bacteria. Dx? #meded #idmeded #idtwitter Image #Wohlfahrtiimonas #chitiniclastica bacteremia Ref wwwnc.cdc.gov/eid/article/27… in this case identified w/ MALDI-TOF; Image Ref jgid.org/article.asp?is…
Dec 5, 2021 6 tweets 4 min read
#idboardreview 60 F with Myelodysplastic syndrome presents w/ L knee pain, rash on unilateral sole, PET: L iliac artery uptake. Knee fluid 80k 98% PMN, gram stain gram negative cocobacilli. dx? #meded #idmeded #idtwitter ImageImage Endovascular Infection #Kingella #kingae Complicated by Septic Arthritis in Immunocompromised Adult Patient Ref wwwnc.cdc.gov/eid/article/26…
Dec 4, 2021 10 tweets 8 min read
#idboardreview 50 M Texan welder w/ diarrhea, cough, dyspnea x2d, presented to ED, sepsis and rapid progression to resp fail & death <8hrs after presentation. CT necrotizing pneumonia. +GPR #idtwitter #meded #idmeded ImageImage #Bacillus #cereus causing #anthrax #pneumonia cdc.gov/mmwr/volumes/7…
Dec 3, 2021 5 tweets 3 min read
#IdBoardReview sudden onset of fever, bronchitis, pneumonia, severe resp illness outbreak in pts of all ages/immune status that attended a game last week. BAL pleomorphic gm- bacteria. What type of isolation? #IDtwitter #idmedEd #medEd Image Inhalation #tularemia bioterrorism needs standard precautions as
Not transmitted from person to person
cdc.gov/infectioncontr…
Nov 28, 2021 8 tweets 6 min read
#idboardreview 50 M s/p renal transplant 50 days ago, present w/ fever, seizures, pneumonia, skin lesions. Biopsy with wide ribbon aseptate hyphae, typical fruiting head on SABDX, LPCB stain. dx? #meded #idmeded #idtwitter ImageImageImage Disseminated #mucormycosis due to #Cunninghamella bertholletiae Pics Ref ir.library.louisville.edu/cgi/viewconten…
Nov 27, 2021 9 tweets 5 min read
#idboardreview 25 F w/ gross hematuria x 1 mo. Previous remote travel to Kenya & swimming in fresh water lake +eosinophilia, thickening of bladder. Sandy patches appearance in cystoscopy. #IDtwitter #idmeded #meded ImageImage #Schistosoma #haematobium Ref ncbi.nlm.nih.gov/pmc/articles/P…
Nov 25, 2021 5 tweets 4 min read
#idboardreview 20 F w/ SLE on hydroxychloroquine & recently high dose steroids for SLE flare presents w/F, dyspnea, diarrhea, wbc6k, Na133, COVID/RVPneg, procal9, galactomann neg, dx? #meded #idmeded #idtwitter ImageImage #Legionella cavitary pneumonia is atypical presentation of Legionnaire’s disease & more commonly w/ impaired cellular immunity due to corticosteroids (particularly high-dose steroid), immunosuppressive therapy, organ transplant & HIV infection; Case Ref idimages
Nov 24, 2021 7 tweets 5 min read
#idboardreview 60 F who handles hares w/ 1wk lesion on R 2nd finger +F/chills, HA, axillary lymphadenopathy, no improvement on amoxicillin/clav. Culture+ colonies 2 to 4 mm in size, greenish-white, round, smooth, slightly mucoid. #idmedEd #medEd #IDTwitter ImageImage #tularemia Francisella tularensis , an aerobic catalase-positive, gram negative coccobacilli omicsonline.org/open-access/tu… Image
Nov 23, 2021 5 tweets 4 min read
#idboardreview 30 M chef, 2 🐈4 🐀 pets w/close contact, no bites/scratches present w/ diffuse maculopapular, non-blanching slightly palpable rash some petechiae involves palms/soles. Tender swollen R knee, L Ankle/wrist. #IdMedEd #IDTwitter #medEd ImageImage Rat-bite fever is a bacterial infection caused by #Streptobacillus moniliformis, which is more common in North America, and Spirillum minus, which is more common in Asia journals.asm.org/doi/10.1128/CM…
Nov 21, 2021 5 tweets 4 min read
#idboardreview Recently returned traveler from camping trip in Mexico presents w/ abdominal pain, nausea, fever, and bloody diarrhea. O&P: structure with ingested erythrocyte (arrow). dx? #medEd #idmedEd #idtwitter ImageImage trophozoite form of #Entamoeba #histolytica etiologic agent of #amebiasis cdc.gov/parasites/ameb… @CDCgov
Nov 20, 2021 7 tweets 4 min read
#idboardreview 40 M presents in summer w/fever, headache, myalagia later rash started on wrists, palms & soles and then diffuse. No hiking or travel. Multiple recent bug bites from her pet dogs who are not uptodate with flea/tick meds. Dx? #meded #idmeded #idtwitter Image Rocky mountain spotted fever #RMSF ncbi.nlm.nih.gov/pmc/articles/P…
Nov 15, 2021 9 tweets 6 min read
#idboardreview Pt attended a holiday party 4 days ago and ate julesylte Christmas brawn & pork chops now presents w/ fever, R sided abd pain, bloody diarrhea. short gram neg rod. dx? #medEd #idmedEd #idtwitter ImageImage #yersinia #enterocolitica aerobic & anaerobic growth, non-spore forming, pleomorphic, non-lactose fermenting gram negative bacilli, motile ar 25C but nonmotile at 37C
-growth at 37C on Mcconkey, brain-heart infusion, CIN cefsulodin, irgasan, novobiocin agar
Nov 14, 2021 10 tweets 6 min read
#idboardreview 60 yo garbage handler from Pakistan presents w/ fever, severe rice water diarrhea w/fishy odor, hypotension, metabolic acidosis, AKI. BC curvy gram neg rods. Dx? #meded #idmedEd #IDTwitter ImageImage Vibrio #cholera curved gram neg rod, fecal oral, poor sanitation, severe watery diarrhea to death. Pics Ref dovepress.com/non-o1-non-o13…
Nov 10, 2021 5 tweets 4 min read
#idboardreview A pt w/ fever & night sweats x3wk, +5lb wt loss, +systolic ejection murmur. BC+ GPC subculture growth on chocolate agar. dx? #meded #idmedEd #idtwitter ImageImage Infective endocarditis due to nutritionally variant streptococcus #Abiotrophia defectiva
Q Ref GWIDBR pics Ref: journals.asm.org/doi/10.1128/JC…