Top Tweets for #IDBoards
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows @IdVilchez
🚨#IDBoards looking forward to working with @ABIMcert on this role for the next 2-years, thank you #ABIM! @JHMed_ID @HopkinsMedicine @PaulPauwaert @enjohnsonmd @IDSAInfo @IDWeekmtg
#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows @IdVilchez
#IDBoards: patient with SUD/OUD and multiple skin popping lesions over 8-9 years presents with AKI, nephrotic range proteinuria, & BLLE edema. HIV, HCV, BC, TEE, & spinal MRI negative.
Likely non-infectious etiology:
Lonestar tick:
⭐️STARI (of course!)
⭐️in the ❤️of 🇺🇸 - Heartland & Bourbon viruses
⭐️stars mean #1 - Alpha-gal syndrome
The usuals:
⭐️Rickettsia parkeri (like RMSF + tache noire)
⭐️Tickborne relapsing fever - Borrelia hermsii
⭐️E chaffeensis & ewingii
⭐️Tularemia
#IDBoards
Visceral Leishmaniasis
new 🌎 - L infantum (like a new infant)
oLD 🌍 - L donovani
What viscera do these flagellates swim to?
🦴 marrow & liver & spleen
Labs reflect organ dse:
- cytopenias, ⬇️albumin, ⬆️gammaglobulinemia
Dx: BM or spleen bx
Tx: miltefosine, ampho
#IDBoards
Maternal viral indications for C-section:
🦠HSV
- active genital lesions at the time of labor
- prodromal symptoms at time of delivery (due to risk of shedding)
🦠HIV
- viral load > 1000 copies/ml or unknown near time of delivery
🦠HCV
- either vaginal or caesarean
#IDBoards
Hantavirus Pulmonary Syndrome
H-P-S
Hemoconcentration
Platelets low, PT high
Shift left (neutrophils) w/ atypical lymphocytes
Caused by Sin Nombre virus (think severe and fatal from something you can’t say the name, like Voldemort)
Rodent nests in southwest US
#IDBoards
It’s no compliment to get recurrent gonococcal infections, or meningococcal infections, for that matter.
🔄 recurrent meningococcal or gonococcal infxns, or disseminated gonococcal infxns
➡️ think deficiency of terminal complement components
✅ CH50, AH50
#IDBoards
Why can’t we call the disease caused by Rickettsia rickettsii “Rickettsialpox”.
No, let’s call THAT disease Rocky Mountain Spotted fever. BUT let’s say rickettsialpox is caused by Rickettsia akari 🙄
#IDBoards
Mycobacterial species detected on Tb tests:
IGRA : M….
🫁tuberculosis
🫁kansasii
🫁marinum
🫁szulgai
Gene probe : M….
🫁tuberculosis
🫁bovis
🫁africanum
🫁microti
#IDBoards
Some Sporotrichoid skin lesions and their sources
(Nodular lymphangitis)
☄️Sporothrix schenkii - 🌹🥀🪴
☄️ Nocardia brasiliensis - 🪴🌷
☄️ Mycobacterium marinum - 🐟🐠
☄️Cutaneous leishmaniasis - 🌎🌍
#IDBoards
https://t.co/YAAGQvbMUb
Trypanosoma cruzi (Chagas disease) transmission from the Reduviid bug:
- it poops on breaks in your skin
- it poops in your eye 🫣
- ingestion of blenderized bugs contaminating sugar cane or açaí berry juice 😳
#IDBoards
Oh those prairie dogs.
Skin lesions following exposure:
- Pox lesions - Mpox
- Eschars and necrotic spots - Yersinia pestis (plague)
#IDBoards
Congrats to all #IDFellows on passing #IDBoards. And a special shoutout to the @UCSD_IDFellows who all killed it!! @SydneyR56695845 @PKRiggs @rehansyedmd
@WayneStateID #Micro rounds teaching by our APD, Dr Lea Monday for the fellows.
Hands-on Oxidase @DocSaadia.
Identifying non-fermenters based on clinical scenario and culture plates to help strengthen micro for #IDboards
#Burkholderia on blood,choc,Mac and BCA agar
#IDTwitter
Good luck to everyone taking ID boards tomorrow for certification or recertification! May bugs and drugs be your friends tomorrow and forever!! @IDSAInfo @IDSAMedEdCOP @IDSAFoundation #IDBoards
Middle-aged female presented to us w/ RUQ pain, nausea, diarrhea x1week. She had tachycardia, temp 100.2F, tender RUQ on exam. Pertinent labs: AST 78; ALT 119; Alk phos 228; Tbili 0.4.
#IDtwitter #medid #meded #idboards
#IDtwitter #idboards #medid Guideline review conference today 💪🏻 Pt w/ GSW to head w/ CSF leak diverted w/ lumbar drain &placement of EVD, w/ fevers 9 days later.
EVD was still in place, lumbar drain was removed then. CSF analysis with GPR!
Can you guess the pathogen? 🦠
Check out this great parinaud's syndrome review by IUID! Their featured article today is by our very own Dr. Christopher Dayton & Dr. Gregory Anstead 💪🏻 In case you're wondering, our published case is about flea-borne typhus causing parinaud's! #texas
#IDtwitter #idboards #medid
https://t.co/0Obqe8iErp
#idboardreview A middle-aged neutropenic woman w/ luxeptinib therapy for follicular lymphoma w/ nausea, diarrhea, abd pain x 2 weeks. R elbow, abdomen, L flank skin lesions, pictured below. DDx? Thoughts?
#medid #MedEd #IDtwitter #idboards
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