Discover and read the best of Twitter Threads about #Resident
Most recents (24)
1.
Ca commence 🤣🤣
#MacronOrdure #foutriquet #presiroi #resident le pétochard, a vraiment la trouille du peuple de France:
interdiction de la manifestation autour du stade de France demain samedi 29 avril 2023,
Ca commence 🤣🤣
#MacronOrdure #foutriquet #presiroi #resident le pétochard, a vraiment la trouille du peuple de France:
interdiction de la manifestation autour du stade de France demain samedi 29 avril 2023,
2.
Coupe de France: le rassemblement syndical prévu aux abords du stade interdit samedi soir bfmtv.com/police-justice… via
Coupe de France: le rassemblement syndical prévu aux abords du stade interdit samedi soir bfmtv.com/police-justice… via
3.
Cette interdiction est justifié par la préfecture par plusieurs motifs: non-respect des délais pour déclarer un rassemblement (trois jours francs), possible perturbation d'une manifestation sportive avec l'annonce sur les réseaux sociaux de distribution de sifflets.
Cette interdiction est justifié par la préfecture par plusieurs motifs: non-respect des délais pour déclarer un rassemblement (trois jours francs), possible perturbation d'une manifestation sportive avec l'annonce sur les réseaux sociaux de distribution de sifflets.
1.
C'est dingue ce #resident , ce #presiroi , ce #MacronOrdure , il se plaint que les casseroles l'empêchent de parler avec "les gens" (comme il les appelle 🤣), mais quand il s'organise pour les rencontrer, en se cachant de ses opposants,
C'est dingue ce #resident , ce #presiroi , ce #MacronOrdure , il se plaint que les casseroles l'empêchent de parler avec "les gens" (comme il les appelle 🤣), mais quand il s'organise pour les rencontrer, en se cachant de ses opposants,
2.
au moyen d'artifices grossiers, en cachant la visite au marché de Dole à la grande majorité des journalistes, ainsi qu'au maire,
VIDÉO - Comment a été organisée la visite cachée d'Emmanuel Macron sur le marché de Dole dans le Jura?
bfmtv.com/politique/comm… via @BFMTV
au moyen d'artifices grossiers, en cachant la visite au marché de Dole à la grande majorité des journalistes, ainsi qu'au maire,
VIDÉO - Comment a été organisée la visite cachée d'Emmanuel Macron sur le marché de Dole dans le Jura?
bfmtv.com/politique/comm… via @BFMTV
3.
il est méprisant. "Pour 1.200 euros, je ne me lève pas à 4h du matin", s'agace un passant. Un autre s'énerve sur les patrons de la grande distribution: "Quand est-ce qu'on va arrêter de permettre à ces gens de s'en foutre plein les poches?", dit-il. "Ça choque tout le monde.
il est méprisant. "Pour 1.200 euros, je ne me lève pas à 4h du matin", s'agace un passant. Un autre s'énerve sur les patrons de la grande distribution: "Quand est-ce qu'on va arrêter de permettre à ces gens de s'en foutre plein les poches?", dit-il. "Ça choque tout le monde.
An 85-YO in rural Mississippi: months of tender, erythematous plaques & edema on bilateral hands extending to the elbows & on feet extending below the knees with significant pain
🔬skin granulomatous inflammation & numerous AFB
Mycobacterial🧫:➖
1/19
#IDtwitter #dermatology
🔬skin granulomatous inflammation & numerous AFB
Mycobacterial🧫:➖
1/19
#IDtwitter #dermatology
A repeat skin extensive granulomatous inflammation (A), with Ziehl-Neelsen stain clusters of acid-fast bacilli throughout the dermis (B).
Kinyoun stain >9 AFB/high-power field (C & D).
2/19
DOI: doi.org/10.1128/jcm.00…
#dermpath #microbiology
Kinyoun stain >9 AFB/high-power field (C & D).
2/19
DOI: doi.org/10.1128/jcm.00…
#dermpath #microbiology
Molecular identification: 100% identity to multiple Mycobacterium leprae
BORDERLINE LEPROMATOUS LEPROSY WITH REVERSAL REACTION
3/19
#MedTwitter #MolBiol
BORDERLINE LEPROMATOUS LEPROSY WITH REVERSAL REACTION
3/19
#MedTwitter #MolBiol
A 44-YO♂️, stayed in a rural cottage of France 2 weeks previously: cramping upper abdominal pain with watery diarrhea.
He had passed what he thought were worms in his feces
Eosinophilia
1/6
doi.org/10.1093/cid/ci…
#GITwitter #IDtwitter #microbiology
He had passed what he thought were worms in his feces
Eosinophilia
1/6
doi.org/10.1093/cid/ci…
#GITwitter #IDtwitter #microbiology
The specimens: identified as the larvae of the drone fly, Eristalis tenax
These larvae are 2.5–3 cm in length; the posterior tube gives them the name of “rat-tailed maggots”
INTESTINAL MYASIS CAUSED BY ERISTALIS TENAX LARVA
2/6
doi.org/10.1093/cid/ci…
#parasites #GIPath #Doctor
These larvae are 2.5–3 cm in length; the posterior tube gives them the name of “rat-tailed maggots”
INTESTINAL MYASIS CAUSED BY ERISTALIS TENAX LARVA
2/6
doi.org/10.1093/cid/ci…
#parasites #GIPath #Doctor
Myiasis caused by E. tenax:
✔️rare but have been
✔️reported from various countries including Europe
✔️most often intestinal myiasis, but cases of infestation of the nasal cavity, urinary tract, and vagina have been described.
3/6
#Doctor #MedStudentTwitter
✔️rare but have been
✔️reported from various countries including Europe
✔️most often intestinal myiasis, but cases of infestation of the nasal cavity, urinary tract, and vagina have been described.
3/6
#Doctor #MedStudentTwitter
A 26-YO♂️ no #sexual contacts other than with his male partner: 6-day of fever, malaise, a swollen parotid gland, & ulcerative lesion on the ipsilateral lower lip.
Mild lymphopenia
⬆️GGT & CRP
1/6
doi.org/10.1016/S0140-…
#IDtwitter #dermatology #EarNoseThroat
Mild lymphopenia
⬆️GGT & CRP
1/6
doi.org/10.1016/S0140-…
#IDtwitter #dermatology #EarNoseThroat
PCRs on the throat & ulcer swabs:➕for human #monkeypox (hMPX)
Genomic sequencing: clade IIb variant clustering within the current international mpox virus outbreak
PAROTIDITIS CAUSED BY hMPX virus
2/6
#sexually #maxillofacial #microbiology
Genomic sequencing: clade IIb variant clustering within the current international mpox virus outbreak
PAROTIDITIS CAUSED BY hMPX virus
2/6
#sexually #maxillofacial #microbiology
7 days after initial presentation, his clinical condition had improved together with a decrease in the parotid swelling and the size of the ulcer.
3/6
#MedTwitter #Doctor #MedStudentTwitter
3/6
#MedTwitter #Doctor #MedStudentTwitter
A 57-YO Mexican♀️, works on a farm has several pets, including dogs, at home: epigastric fullness, and a 15-pound weight loss.
CT: complex cystic left liver mass.
1/5
doi.org/10.1093/cid/ci…
#gastroenterology #radiology #medicine
CT: complex cystic left liver mass.
1/5
doi.org/10.1093/cid/ci…
#gastroenterology #radiology #medicine
Resection: Cyst wall (red➡️), daughter cysts (*) normal liver tissue (yellow⬅️)
🔬acellular laminated wall (*), inner germinal layer (black⬅️), & protoscoleces surrounded by a broad capsule (green⬅️). Refractile hooklets (blue⬅️) & calcareous bodies (red⬅️)
2/5
#GIPath #IDtwitter
🔬acellular laminated wall (*), inner germinal layer (black⬅️), & protoscoleces surrounded by a broad capsule (green⬅️). Refractile hooklets (blue⬅️) & calcareous bodies (red⬅️)
2/5
#GIPath #IDtwitter
ECHINOCOCCAL CYST
The patient underwent total excision of the cyst followed by albendazole therapy for 4 weeks.
3/5
doi.org/10.1093/cid/ci…
#microbiology #GITwitter #MedStudentTwitter
The patient underwent total excision of the cyst followed by albendazole therapy for 4 weeks.
3/5
doi.org/10.1093/cid/ci…
#microbiology #GITwitter #MedStudentTwitter
A 50-YO ♀️ bitten by her pet rat: fever, myalgia, sore throat, headaches a nonpruritic rash on extremities including palms & soles, arthralgias, knees arthritis.
A punctate wound with central necrosis on L palm, & her R thumb.
1/9
#rheumatology #internalmedicine #dermatology
A punctate wound with central necrosis on L palm, & her R thumb.
1/9
#rheumatology #internalmedicine #dermatology
Leukocytosis with neutrophilia
ESR & PCR:⬆️
Purulent R knee synovial fluid:
✔️46 000 cells/mL (88% neutrophils).
✔️Gram stain: scant pleomorphic gram-negative bacilli in chains with lateral bulbar swellings
2/9
doi.org/10.1093/cid/ci…
#microbiology #rheumatologist
ESR & PCR:⬆️
Purulent R knee synovial fluid:
✔️46 000 cells/mL (88% neutrophils).
✔️Gram stain: scant pleomorphic gram-negative bacilli in chains with lateral bulbar swellings
2/9
doi.org/10.1093/cid/ci…
#microbiology #rheumatologist
Synovial fluid 🧫culture: Streptobacillus moniliformis identified by biochemical testing & confirmed by MALDI-TOF.
RAT BITE FEVER (RBF) WITH SEPTIC ARTHRITIS DUE STREPTOBACILLUS MONILIFORMIS
3/9
#bacteriology #IDtwitter #microbiología
RAT BITE FEVER (RBF) WITH SEPTIC ARTHRITIS DUE STREPTOBACILLUS MONILIFORMIS
3/9
#bacteriology #IDtwitter #microbiología
A 29-YO♂️, 6 months before, HIV + & non–drug-resistant pulmonary tuberculosis, antiretroviral & 4-drug antituberculous therapy initiated but soon reduced to rifampin & isoniazid only: abdominal pain on the L side
CT: ?
1/5
DOI: 10.1056/NEJMicm2206174
#radiologist #GITwitter
CT: ?
1/5
DOI: 10.1056/NEJMicm2206174
#radiologist #GITwitter
CT: an enlarged spleen with numerous hypodense lesions (A).
CD4 cell count: 119/mm3
VIH viral load: 1778 copies/mm3
A splenectomy was performed to evaluate for cancer:
numerous necrotic nodules with purulent discharge (B).
2/5
#microbiology #gastroenterology #IDtwitter
CD4 cell count: 119/mm3
VIH viral load: 1778 copies/mm3
A splenectomy was performed to evaluate for cancer:
numerous necrotic nodules with purulent discharge (B).
2/5
#microbiology #gastroenterology #IDtwitter
🔬granulomatous inflammation with caseous necrosis (C) and acid-fast bacilli (D, arrowheads).
A tissue🧫: ➖
PCR: ➕for Mycobacterium tuberculosis
SPLENIC TUBERCULOSIS
3/5
#bacteriology #MedTwitter #GIPath
A tissue🧫: ➖
PCR: ➕for Mycobacterium tuberculosis
SPLENIC TUBERCULOSIS
3/5
#bacteriology #MedTwitter #GIPath
A 17-YO: a 3-week of dizziness, headache, & weakness of the R leg
MR: ring-enhancing lesions in the frontal lobe & basal ganglia on the L side (A; T1-W) as well as surrounding edema & midline shift (B; T2-W)
1/6
DOI: 10.1056/NEJMicm2202196
#neurology #radiology #IDTwitter
MR: ring-enhancing lesions in the frontal lobe & basal ganglia on the L side (A; T1-W) as well as surrounding edema & midline shift (B; T2-W)
1/6
DOI: 10.1056/NEJMicm2202196
#neurology #radiology #IDTwitter
IgG ab for Echinococcus multilocularis & E. granulosus: ➖
Surgical excision🔬: necrotic tissue, granulomatous inflammation, echinococcal laminated membrane (C, arrow) & an intact cyst (D, arrow)
RT-PCR: ➕for E. multilocularis
2/6
#parasitology #Pathologists #pathology
Surgical excision🔬: necrotic tissue, granulomatous inflammation, echinococcal laminated membrane (C, arrow) & an intact cyst (D, arrow)
RT-PCR: ➕for E. multilocularis
2/6
#parasitology #Pathologists #pathology
CT imaging of the chest and abdomen did not show any other sites of disease.
CEREBRAL ALVEOLAR ECHINOCOCCOSIS
3/6
DOI: 10.1056/NEJMicm2202196
#microbiology #MedTwitter #Doctor
CEREBRAL ALVEOLAR ECHINOCOCCOSIS
3/6
DOI: 10.1056/NEJMicm2202196
#microbiology #MedTwitter #Doctor
A 14-yo ♂️ lived on a farm: a 1-month history of episodic headaches, vomiting, & papilledema
MR: a multiloculated cyst of the brain (A) with a hypointense rim and small projections in T2 phase (B, arrow)
1/5
DOI: 10.1056/NEJMicm2208104
#neurology #radiology #pediatric
MR: a multiloculated cyst of the brain (A) with a hypointense rim and small projections in T2 phase (B, arrow)
1/5
DOI: 10.1056/NEJMicm2208104
#neurology #radiology #pediatric
Findings suggestive of CYSTIC ECHINOCOCCOSIS.
CT of the body: no other sites of disease.
A craniotomy was performed, during which saline irrigation was used to separate the cyst wall from the brain to avoid rupture.
2/5
DOI: 10.1056/NEJMicm2208104
#IDtwitter #parasitology
CT of the body: no other sites of disease.
A craniotomy was performed, during which saline irrigation was used to separate the cyst wall from the brain to avoid rupture.
2/5
DOI: 10.1056/NEJMicm2208104
#IDtwitter #parasitology
🔬: an echinococcal laminated membrane lined by a germinal layer with daughter cysts (Panel D, arrows) and protoscolices (inset, arrows) with hooklets (arrowhead).
PRIMARY CEREBRAL CYSTIC ECHINOCOCCOSIS FROM ECHINOCOCCUS GRANULOSUS
3/5
#microbiology #Pathologists #pathology
PRIMARY CEREBRAL CYSTIC ECHINOCOCCOSIS FROM ECHINOCOCCUS GRANULOSUS
3/5
#microbiology #Pathologists #pathology
A 46-YO ♂️: oropharyngeal lesions, cervical lymphadenopathy, intermittent fever, hepatosplenomegaly, and deteriorating general health.
Needle aspiration from submandibular lymph node: intra- and extracellular yeasts
1/4
DOI:
doi.org/10.4269/ajtmh.…
#dermpath #mycology
Needle aspiration from submandibular lymph node: intra- and extracellular yeasts
1/4
DOI:
doi.org/10.4269/ajtmh.…
#dermpath #mycology
The histopathology of oral lesion showed features of HISTOPLASMOSIS confirmed later from culture of Histoplasma capsulatum on culture
2/4
#IDtwitter #microbiology #MedTwitter
2/4
#IDtwitter #microbiology #MedTwitter
In immunocompetent hosts, when chronic disseminated histoplasmosis occurs from pulmonary infection, oral ulcers, nodules, and vegetative plaques are common and dissemination to liver, spleen, bone marrow, and other organs is frequent.
3/4
#Doctor #MedStudentTwitter #resident
3/4
#Doctor #MedStudentTwitter #resident
A 37-YO, farmer in India, #HIV+ immunecompromised ♂️, treatment for suspected pulmonary tuberculosis: papulonodular lesions of 3-month duration over the face, neck, trunk, limbs, palms & soles, & oropharynx; fever & generalized lymphadenopathy
🔬: ?
1/7
#IDTwitter #microbiology
🔬: ?
1/7
#IDTwitter #microbiology
🔬: Blastoconidias within the macrophages.
🧫: Histoplama capsulatum: characteristic colony, conversion to yeast form, characteristic🔬appearance.
PROGRESSIVE DISSEMINATED HISTOPLASMOSIS
2/7
doi: 10.4269/ajtmh.17-0432
#dermpath #mycology #internalmedicine
🧫: Histoplama capsulatum: characteristic colony, conversion to yeast form, characteristic🔬appearance.
PROGRESSIVE DISSEMINATED HISTOPLASMOSIS
2/7
doi: 10.4269/ajtmh.17-0432
#dermpath #mycology #internalmedicine
Diagnosis is usually suspected on visualization of characteristic intracellular yeast (blastoconidias), the pathogenic or tisular form, with a clear rim and garnulomatous cellular infiltrate in tissue specimen or lymph node aspirate
3/7
#MedTwitter #Doctor
3/7
#MedTwitter #Doctor
A 31-YO ♂️, sex with men, HIV treatment, HCV: in 2022, fever, cervical lymph nodes & erythemato-squamous papules, with umbilications & ulcerations, vesicles & pustules, & honey-colored crusts on the face, trunk & limbs including his palms & soles
1/7
#IDtwitter #primarycare
1/7
#IDtwitter #primarycare
PCR: ➕for MPXVirus.
#HIV viral load of < 40 copies/mL and a CD4 + count of 167 cells/mm3
#MPOX (MONKEYPOX)
2/7
#healthcare #internalmedicine #microbiology
doi.org/10.1016/j.idcr…
#HIV viral load of < 40 copies/mL and a CD4 + count of 167 cells/mm3
#MPOX (MONKEYPOX)
2/7
#healthcare #internalmedicine #microbiology
doi.org/10.1016/j.idcr…
Supportive care of Mpox was provided, namely,
✔️beta-lactams due to bacterial superinfection of the lesions,
✔️in addition to analgesia, which was initially administered with NSAIDs and then escalated to opioids.
3/7
#MedTwitter #MedStudentTwitter #dermtwitter
✔️beta-lactams due to bacterial superinfection of the lesions,
✔️in addition to analgesia, which was initially administered with NSAIDs and then escalated to opioids.
3/7
#MedTwitter #MedStudentTwitter #dermtwitter
A 32-YO ♂️ sex worker, sex with men unprotected, HIV under treatment: 20 lesions scattered throughout the body of umbilicated, erythematous, violaceous papules with central ulcerations & pustules, fevers, cervical & axillary lymph nodes
1/5
#IDtwitter #primarycare #healthcare
1/5
#IDtwitter #primarycare #healthcare
HIV viral load of 1577 copies/mL and a CD4 + count of 932 cells/mm3
PCR: ➕ for Mpox virus
MPOX (MONKEYPOX)
2/5
#internalmedicine #microbiology doi.org/10.1016/j.idcr…
PCR: ➕ for Mpox virus
MPOX (MONKEYPOX)
2/5
#internalmedicine #microbiology doi.org/10.1016/j.idcr…
Mpox had been a neglected disease until May, 2022, and since then, there has been a notorious increase in the number of human monkeypox cases in non-endemic areas
3/5
#MedTwitter #MedStudentTwitter #dermtwitter
3/5
#MedTwitter #MedStudentTwitter #dermtwitter
An 86-YO ♂️, injury on his L leg 47 years prior, several debridements, skin grafts, & vein stripping procedures: chronic bilateral leg progressive ulcers.
Superficial🧫: multiple organisms including E. coli & coagulase➖Staphylococcus.
1/6
#internalmedicine #IDtwitter
Superficial🧫: multiple organisms including E. coli & coagulase➖Staphylococcus.
1/6
#internalmedicine #IDtwitter
Skin biopsy🔬: bilateral invasive squamous cell carcinomas.
BILATERAL INVASIVE SQUAMOUS CELL CARCINOMAS (MARJOLIN ULCERS)
2/6
#dermatology #dermpath
doi.org/10.1093/cid/ci…
BILATERAL INVASIVE SQUAMOUS CELL CARCINOMAS (MARJOLIN ULCERS)
2/6
#dermatology #dermpath
doi.org/10.1093/cid/ci…
The mean time period between development of a wound to malignancy is 30–35 years.
The most common malignancies seen in Marjolin ulcers are squamous cell carcinomas, but basal cell carcinomas and melanomas have been reported.
3/6
#Doctor #healthcare #MedStudentTwitter
The most common malignancies seen in Marjolin ulcers are squamous cell carcinomas, but basal cell carcinomas and melanomas have been reported.
3/6
#Doctor #healthcare #MedStudentTwitter
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
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
✔️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
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
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
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
🧫, 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
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
A 32-YO♀️ from Guatemala, Ph+ B-ALL post #chemotherapy: #dyspnea
CT: ground-glass opacities (2A yellow box), interstitial pulmonary edema with septal thickening (2B yellow circles), & pericardial effusion (2C yellow arrows), lymph nodes (2D yellow arrows)
Eosinophilia
1/7
CT: ground-glass opacities (2A yellow box), interstitial pulmonary edema with septal thickening (2B yellow circles), & pericardial effusion (2C yellow arrows), lymph nodes (2D yellow arrows)
Eosinophilia
1/7
Due to normal ejection fraction, the differential diagnosis of dyspnea included non-cardiogenic pulmonary edema, pneumonitis secondary to chemotoxicity, and infection.
2/7
doi.org/10.1016/j.idcr…
#haematology #radiology #IDtwitter
2/7
doi.org/10.1016/j.idcr…
#haematology #radiology #IDtwitter
She progressed to acute hypoxic respiratory failure.
🔬bronchoalveolar lavage: numerous larvae (3A,3B) with short buccal grove (arrow head) and prominent genital primordium (arrow) consistent with STRONGYLOIDES HYPERINFECTION
3/7
#lungdisease #parasitology #Pathologists
🔬bronchoalveolar lavage: numerous larvae (3A,3B) with short buccal grove (arrow head) and prominent genital primordium (arrow) consistent with STRONGYLOIDES HYPERINFECTION
3/7
#lungdisease #parasitology #Pathologists
A 24-YO ♂️ 2 years prior bitten by an insect on his left mid-arm in Nicaraguan: within a week, developed a lesion at the site of the bite; over time increased in number and spread in multiple hyperkeratotic, wart-like papules.
1/8
doi.org/10.1093/cid/ci…
#IDtwitter #dermatology
1/8
doi.org/10.1093/cid/ci…
#IDtwitter #dermatology
Wet mount slide from cultures of biopsy using rabbit blood agar slant: aggregates of Leishmania promastigotes (arrow), which can be identified based on their elongated shape and flagella.
CUTANEOUS LEISHMANIASIS
2/8
doi.org/10.1093/cid/ci…
#parasitology #MedTwitter
CUTANEOUS LEISHMANIASIS
2/8
doi.org/10.1093/cid/ci…
#parasitology #MedTwitter
Biopsy cultures in “triple N” media, PCR and DNA sequencing: Leishmania panamensis.
He received a 10-day course of intravenous liposomal amphotericin B. His lesions slowly regressed over 3 months.
3/8
doi.org/10.1093/cid/ci…
#Doctor #microbiology
He received a 10-day course of intravenous liposomal amphotericin B. His lesions slowly regressed over 3 months.
3/8
doi.org/10.1093/cid/ci…
#Doctor #microbiology
A 27-YO ♂️ with #HIV & #syphilis, condomless receptive & insertive vaginal, anal, & oral intercourse with male & female partners: a diffuse, erythematous, macular rash (involved the palms) & umbilicated, pustular lesions on face, arms (A), legs, trunk (B, flank) & neck (C)
1/7
1/7
PCR swabbed lesions:➕for #monkeypox
MONKEYPOX in a sexually-active man with HIV and SYPHILIS
He was started on antiretroviral therapy for his recent diagnosis of HIV, & administered IM benzathine penicillin G for syphilis.
2/7
doi.org/10.1016/j.visj…
#IDtwitter #dermatology
MONKEYPOX in a sexually-active man with HIV and SYPHILIS
He was started on antiretroviral therapy for his recent diagnosis of HIV, & administered IM benzathine penicillin G for syphilis.
2/7
doi.org/10.1016/j.visj…
#IDtwitter #dermatology
As direct contact is the primary mode of transmission, sexual intimacy has been identified as a risk factor for #Mpox, and a high proportion of the current multinational outbreak has been in men who have sex with men.
3/7
#MedTwitter #Doctor
3/7
#MedTwitter #Doctor
A 6-YO Bedouin ♂️: a limp, headache, left facial nerve palsy, & left hemiparesis.
Blood eosinophil count of 890/μL.
MRI: a brain cyst.
1/8
DOI: doi.org/10.4269/ajtmh.…
#neurology #pediatric #MedTwitter
Blood eosinophil count of 890/μL.
MRI: a brain cyst.
1/8
DOI: doi.org/10.4269/ajtmh.…
#neurology #pediatric #MedTwitter
Abdominal ultrasound and chest radiography did not reveal additional cysts.
Blood serology (ELISA) for ECHINOCOCCOSIS: ➖
The brain cyst was fully removed surgically.
2/8
DOI: doi.org/10.4269/ajtmh.…
#neuro #Pediatrics #surgery
Blood serology (ELISA) for ECHINOCOCCOSIS: ➖
The brain cyst was fully removed surgically.
2/8
DOI: doi.org/10.4269/ajtmh.…
#neuro #Pediatrics #surgery
Histopathological examination of the brain cyst fluid showed several echinococcal larvae (C and D), confirming CYSTIC ECHOCOCCOSIS diagnosis.
Over the following 4 months, he was treated with albendazole without complications.
3/8
#parasitology #microbiology #IDtwitter
Over the following 4 months, he was treated with albendazole without complications.
3/8
#parasitology #microbiology #IDtwitter
A 39-YO ♂️, same-sex relationships involving condomless anal sex: 38°C, cervical lymphadenopathy, mucosal ulceration on his tongue and a maculopapular rash on his face, neck and anterior chest.
1/5
DOI: doi.org/10.1503/cmaj.2…
#Doctor #emergency #dermatology
1/5
DOI: doi.org/10.1503/cmaj.2…
#Doctor #emergency #dermatology
RPR: ➖
Immunoassay:➕for HIV antibodies
HIV-1 blood viral load: 4.79 million copies/mL
Blood CD4 T-cell count of 0.1 × 109/L.
ACUTE HIV INFECTION
Started antiretroviral treatment with bictegravir–emtricitabine–tenofovir alafenamide.
2/5
#IDtwitter #microbiology
Immunoassay:➕for HIV antibodies
HIV-1 blood viral load: 4.79 million copies/mL
Blood CD4 T-cell count of 0.1 × 109/L.
ACUTE HIV INFECTION
Started antiretroviral treatment with bictegravir–emtricitabine–tenofovir alafenamide.
2/5
#IDtwitter #microbiology
Features of acute HIV infection occur 2–4 weeks after exposure.
Common presentation includes fever, arthralgia and lymphadenopathy, which may mimic acute mononucleosis.
Seroconversion usually occurs 3–8 weeks after initial infection.
3/5
#virology #MedTwitter
Common presentation includes fever, arthralgia and lymphadenopathy, which may mimic acute mononucleosis.
Seroconversion usually occurs 3–8 weeks after initial infection.
3/5
#virology #MedTwitter
A 3-month-old ♂️, a dimple at the center of a lumbosacral hemangioma (a): fever & deteriorating condition.
CSF: ⬆️cell count 5717/µL;⬆️protein = 352 mg/dL; ⬇️glucose < 10 mg/dL.
RM (b): ?
1/7
doi.org/10.1016/j.idcr…
#pediatric #IDtwitter #Neurology
CSF: ⬆️cell count 5717/µL;⬆️protein = 352 mg/dL; ⬇️glucose < 10 mg/dL.
RM (b): ?
1/7
doi.org/10.1016/j.idcr…
#pediatric #IDtwitter #Neurology
RM b): a congenital dermal sinus communicating with the spinal cord.
Enterobacter aerogenes was isolated from CSF and stool cultures
CONGENITAL DERMAL SINUS ASSOCIATED WITH MENINGITIS BY ENTEROBACTER AEROGENES
2/7
#radiology #microbiology #pediatria
Enterobacter aerogenes was isolated from CSF and stool cultures
CONGENITAL DERMAL SINUS ASSOCIATED WITH MENINGITIS BY ENTEROBACTER AEROGENES
2/7
#radiology #microbiology #pediatria
Congenital dermal sinus is associated with meningitis caused by atypical pathogens.
Enterobacter aerogenes community-acquired infections associated with congenital dermal sinus are rarely observed.
3/7
#bacteriology #MedTwitter
Enterobacter aerogenes community-acquired infections associated with congenital dermal sinus are rarely observed.
3/7
#bacteriology #MedTwitter
A 49-YO♀️: fever, myalgia, headache, blanching papular rash on her trunk & limbs, & conjunctivitis (1)
Neutropenia & mild hepatitis
The patient's husband accompanied the patient to the Cook Islands: a highly similar rash (2)
1/6
doi.org/10.1093/cid/ci…
#IDtwitter #microbiology
Neutropenia & mild hepatitis
The patient's husband accompanied the patient to the Cook Islands: a highly similar rash (2)
1/6
doi.org/10.1093/cid/ci…
#IDtwitter #microbiology
Arboviral infection was suspected.
Pan-flavivirus PCR: ➕
PCR was sequenced, & a BLAST search: ➕ for Zika virus.
ZIKA VIRUS INFECTION
The wife (and her husband): recovery over 5 days with no specific treatment.
2/ 6
doi.org/10.1093/cid/ci…
#virology #MedTwitter #MolBiol
Pan-flavivirus PCR: ➕
PCR was sequenced, & a BLAST search: ➕ for Zika virus.
ZIKA VIRUS INFECTION
The wife (and her husband): recovery over 5 days with no specific treatment.
2/ 6
doi.org/10.1093/cid/ci…
#virology #MedTwitter #MolBiol
Zika virus, endemic to Southeast Asia & Africa, is transmitted by Aedes species mosquitoes.
Clinical manifestations (fever, maculopapular rash, myalgias, and headache) are similar to other arboviral infections, such as dengue and chikungunya,
3/6
#dermatology #Doctor
Clinical manifestations (fever, maculopapular rash, myalgias, and headache) are similar to other arboviral infections, such as dengue and chikungunya,
3/6
#dermatology #Doctor
