Discover and read the best of Twitter Threads about #Rhizopus

Most recents (4)

#fungi ..
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus πŸ„ .. πŸ€” .. 1/n
#fungi ..
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus πŸ„ .. πŸ€” .. 2/n
healthline.com/nutrition/can-…
#fungi ..
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus πŸ„ .. πŸ€” .. 3/n
Read 4 tweets
#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
#Cunninghamella bertholletiae characteristic sporangiophores with swollen terminal vesicles and ovoid sporangioles
Read 8 tweets
Images of Infectious Diseases

46F with diabetes presents with orbital apex syndrome. Imaging and histopathology shown. What is your differential diagnosis? #MayoIDQ to follow @StephanieGrach @ZYetmar @omarabusaleh15 Image
2/ #MayoIDQ
46F with uncontrolled DM and recent DKA is admitted because of left sided HA for a month. PE: orbital apex syndrome. Head imaging shown. ENT/neurosurgery proceeded with debridement. Pathology shown. Which one of the following choices is most correct?
3/
Case diagnosis: Rhinocerebral #mucormycosis due to #Rhizopus in a person with poorly controlled diabetes mellitus

Rx:
Surgical debridement
Liposomal #Amphotericin B

Later: transitioned to #Posaconazole upon clinical control and improvement
Read 6 tweets
Challenging Case @IDweek2019

63M B cell lymphoma
RCHOP, RICE β€”> CD19-CAR-T
ACV, Levo, Fluco Prophy

SIRS β€”> cytokine release syndrome
Rx tocilizumab β€”> anakinra

Mental status change β€”> CART-related encephalopathy
Rx: dexamethasone

Now coma / anisocoria
MRI / path (photo) Image
Presented by Dr Pearlie Chong @UTSWNews at @IDWeek2019 what is the diagnosis of this neurologic complication following CD19-targeted CAR T cell Rx, followed by use of tocilizumab, anakinra and dexamethasone to manage cytokine release and encephalopathy syndrome?
Case diagnosis: cerebral angioinvasive #mucormycosis due to #Rhizopus

CD19-targeted CAR-T #immunotherapy for B cell cancers β€”> #lymphodepletion

Other immunodeficiencies:
1. conditioning Rx
2. hypogammaglobulinemia
3. IL-6 deficiency (tocilizumab)
4. IL-1 inhibition (anakinra)
Read 8 tweets

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