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In the newest Febrile Digest, we chat about SCORTCH as a framework for congenital infections. Check out our guest's overview: pubmed.ncbi.nlm.nih.gov/32586930/

Some nice figs below fr the paper 👇

But where did "TORCH" come fr? I tried to take a look in this 🧵

#IDTwitter #IDMedEd 2/ From what I could tell, the ToRCH acronym originated in the 1970s and has been attributed to Dr. Nahmias: nature.com/articles/pr197…

🔥@Marcelaaos is back with another group of lovely infographics!! Keep scrolling to learn about histo!

First, Histo is NOT just in Ohio!

A nice review article to save on re-drawing endemic mycoses maps: pubmed.ncbi.nlm.nih.gov/32040709/

#IDTwitter #IDMedEd #MedTwitter 1/ Dimorphic fungi means Histo exists as mold form in environment and yeast form at body temperature

@ID_fellows, Want some online mycology references?

Save the Univ of Adelaide's mycology online : adelaide.edu.au/mycology/

and @DrFungus_MSGERC drfungus.org

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1/ We covered a MASH of pearls during the most recent episode with @SAIRABT ! Let's take a look at some of those points with some new (and prior) @febrilepodcast graphics!

For example, what @ID_fellows hasn't gotten called about rabies?! Check out this refresher #IDMedEd 2/
Rash + eschar + fever should make you consider vector borne rickettsial diseases! See a compare/contrast guide below

Check out links to some @IUIDfellowship tweetorials on these infections:
febrilepodcast.com/episode-22-mic…

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Are you an @ID_fellows? Planning a future in ID?

In honor of #IDWeek2021 Fellows Day and our newest ep, let's 🔗to some ID learning tools! Use these to study for boards or just save to reference thru your training!

@ID_fellows #IDTwitter #IDMedEd

https://twitter.com/febrilepodcast/status/1442466965025529865

2/ For those studying for ID boards - have you taken a peek at the blueprint/content outlines? Good place to start.

⭐️Don't forget to look at your ITE missed Qs/topics to help identify places for improvement⭐️

ABIM: abim.org/Media/mucpauyz…

ABP: abp.org/sites/abp/file…

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Tired of being confused by syphilis serologies?!
Want more info on who needs an LP?

To complement our newest episode, here are some infographics & pearls about syphilis covered by Khalil Ghanem and @ZachLorenzMD in this 🧵

#IDTwitter #IDMedEd @ID_fellows @MedTweetorials 2/
First, let's start with four rules to understand and master syphilis serologies from Khalil!

#IDTwitter #IDMedEd

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Have you ever been confused about the BCG vaccine?

Check out this graphic that @LeaGoren @AliceCLehman @thie0149 created and the following thread!

#IDTwitter #IDMedEd #MedTwitter #MedPedsID #PedsID 2/💉Bacille-Calmette-Guerin (BCG) immuniz. against TB is a group of related live vaccines derived from attenuated M.bovis.
🌏Used in >100 countries, most widely administered vaccine in world
🧠Given to ⬇️incidence of TB meningitis + miliary dz in children

who.int/immunization/s…

1/ A great part of our newest ep. is the discussion about immigrant & refugee health assessments. Check out the great image from our guests @AliceCLehman @LeaGoren @thie0149 ! 👇

Keep scrolling for more resources/links

#IDMedEd #IDTwitter #MedPedsID 2/
Children born outside of the US are vulnerable to increased morbidity due to the lack of awareness of their migration journey and indications for screening/tx. @AliceCLehman outlined some of the definitions that are often used

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In the newest episode, @JillWeather spoke about eosinophilia!

#1 step: calculate your absolute eosinophil count (AEC).

You can then grade eosinophilia based on AEC (mild/mod/severe)👉although this doesn't exactly predict organ damage

What else? 2/
The ddx for eosinophilia is broad! It can help to think of different causes in groups.

Here is a nice mnemonic and graphic from @HawraAllawati on how she remembers: iPa3d!

I nfection
P arasite
A3 atopy, autoimmune, adrenal insufficiency
D rug rxn

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Liver abscess is estimated to occur in about 1/3 of patients with CGD. In the episode, we discussed how a liver abscess may have distinct characteristics in the setting of CGD

#IDTwitter #IDMedED #PedsID @ID_fellows

PLA = pyogenic liver abscess 2/
PLA in CGD:
📌septate mass surrounded by a thick pseudocapsule
📌Inside=dense inspissated fluid.
📌Can be homogenously enhancing on imaging while small, but then develop mult locules separated by thick enhancing septations with intense halo/rim of enhancement around abscess

1/ We didn’t cover all of this in Ep.4, but the case is a good reminder to think about the various imaging findings in liver infection

Knowing the defining features & ddx of liver abscess; hydatid cysts; and mult small nodules is very useful!

#IDTwitter #IDMedEd #MedTwitter 2/
A lot of info for 1 page but a few 🗝️points:
🔸Pyogenic+amebic liver abscess can be indistinguishable on imaging
🔸Echinococcus: check out the WHO classification
🔸Ddx mul small solid nodular liver lesions has a wide ddx. For ID, includes TB/Bartonella/Disseminated fungal inf