Micro

ID--Med Micro Fellow. Puns and Opinions are my own.

[Micro @DrIDMIcro]

I think insurance companies are trying to break a record for hold times for peer to peer discussions.

[Micro @DrIDMIcro]

Can these assays have a prozone effect?

[Micro @DrIDMIcro]

Had a disseminated Histoplasmosis case. Positive fungal stains on 2 different LN biopsies.PCR positive. Urine and blood Ag were negative. Repeat Urine Ag also negative. Wonder if it could be a regional issue since patient had recently immigrated from South America?

[Micro @DrIDMIcro]

Morphology and size of yeast on GMS stain also consistent with Histoplasmosis.

[Micro @DrIDMIcro]

https://t.co/6KH3nawtQT

[Micro @DrIDMIcro]

Any data on length of treatment for Acute retinal necrosis from HSV immunocompetent individuals? Thoughts on when/if to transition to PO acyclovir. Should decision to transition to PO from IV be driven by retinal exam?

[Micro @DrIDMIcro]

#InternalMedicine Patient with Cirrhosis. Peritoneal Fluid with 600 Nucleated cells. 6% Neutrophil 14% Lymph, 80% Histiocytes. Any thoughts on Ddx/ explanation for such a high number of Histiocytes?

[Micro @DrIDMIcro]

@accpchest @journal_CHEST Great case!!!!!!!!

[CHEST @accpchest]

Pulmonary Cavitation With Eosinophilia in a Young Man

What is the diagnosis? Find out in this #CHESTPearl from the August @journal_CHEST issue: https://t.co/KYmDqTFw0I
#MedEd #MedTwitter

[Micro @DrIDMIcro]

@camwolfe @OGdukeneurosurg @camwolfe Thanks Cam. The issue with looking at photos on a cell phone. At first glance thought that was a foley/ chyluria. Feeding tube makes sense and would be at the top of my list with with post op lymphatic leak being a consideration if this was from an effusion

[Micro @DrIDMIcro]

@JuliaDHankins Very few cases of Autochthonous Chagas in the US. The one case that comes to mind was an infant in TN with multiple bites. Highly unlikely to aquite chagas outside of an endemic region. Could also get an entomologist to confirm identity…

[Micro @DrIDMIcro]

Question for ID clinicians. What are the best/most useful apps you use on a regular basis?

[Mayo Clinic Infectious Diseases @MayoClinicINFD]

Publication Alert

Clinical Features, Treatment and Outcomes of Mpox in SOT Recipients: Multicenter Case Series @RazonableMD @AST_IDCOP
@NischalR3 @ElenaBeamMD @jonathanhandMD @AneelaMajeed5 @bhamjwalk @BhaimiaEric @dalldunn @shobz90 @amjtransplant

https://t.co/aMChyyhh5s

[Micro @DrIDMIcro]

@MdFacep PE? Hampton hump sign?

[JClinMicro EIC @JClinMicro]

Mini-Review: Direct-from-Blood Detection of Pathogens: a Review of Technology and Challenges https://t.co/Ht5HzoC86e

"The absence of reliable diagnostics.. emphasizes the need for molecular methods for the detection of sepsis pathogens"

@ASMicrobiology @Linoj_S

[Micro @DrIDMIcro]

@MayoClinicINFD Pin worm

[Duke Health @DukeHealth]

John's doctor recommended a #livertransplant but his low MELD score placed him at the bottom of the national waitlist. Because of innovations at Duke Health, he received a transplant from a #hepatitis B- & C-positive donor. #WorldHepatitisDay
https://t.co/sntCTzoPAX

[Indiana University Infectious Diseases Fellowship @IUIDfellowship]

#idboardreview #idmeded #meded #idtwitter

[Micro @DrIDMIcro]

@kakule06 Correct!

[Micro @DrIDMIcro]

This gram negative bacteria is a rare cause of endocarditis and has an unusual gram stain morphology. Here we see it aggregating into a rosette.