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#idboardreview 25 musician w/ recent trip to Africa where he got raw material to create his own drums admitted with respiratory failure. BC GPR. What sort of isolation is indicated? #idmed #idtwitter #meded 
Standard Isolation for naturally occurring inhalational #anthrax due to animal hides used as drum heads contaminated w/ spores
Pt does not have spores in his respiratory secretions & is of no risk to those in his environment. In theory, contaminated biologic fluid such as sputum could contain organisms that could incubate in the environment and produce spores, but this is quite unlikely #anthrax
40/M Australian immigrant, w/ 3 wks tender 5x5cm suppurative LN R axilla, (-)rash/fever. 4 mos ago, milder episode Tx w/ 10d abx. S/p surgery & LN path: caseating granuloma. Multiple tissue Cx: Gram+ bacilli, (-)AFB. Worked in a sheep farm, (+)cats, (-)trauma. Most likely cause?
(1/5) 14% got the right answer, Corynebacterium. Case of Corynebacterium pseudotuberculosis. Primary pathogen of sheeps/goats. Human infection results from exposure to infected sheeps/goats. First case in humans reported in 1966 academic.oup.com/ajcp/article/4… #IDMedEd
(2/5) Human infection marked by regional lymphadenitis (axillary most common), often suppurative (extremity rash/wound can be see but uncommon); responds w/ antibiotics but notorious for recurrence; Tx: long course of antibiotics + lymph node excision. #IDMeEd
