Discover and read the best of Twitter Threads about #medicalstudents
Most recents (24)
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 58-YO♂️, DM, fever & L lower quadrant abdominal pain 2 months prior: acute R-sided back pain, & 3/6 diastolic murmur at R upper sternal border.
CT: a R renal infarction & splenic embolism
MR: multiple infarctions
1/7
doi.org/10.1016/j.idcr…
#Cardiology #medicine #cardiologia
CT: a R renal infarction & splenic embolism
MR: multiple infarctions
1/7
doi.org/10.1016/j.idcr…
#Cardiology #medicine #cardiologia
Transesophageal echocardiography: a vegetation and severe aortic regurgitation.
Blood 🧫: Cardiobacterium hominis
CARDIOBACTERIUM HOMINIS ENDOCARDITIS ASSOCIATED WITH CEREBRAL, RENAL, AND SPLENIC INFARCTIONS
2/7
#IDtwitter #microbiology
Blood 🧫: Cardiobacterium hominis
CARDIOBACTERIUM HOMINIS ENDOCARDITIS ASSOCIATED WITH CEREBRAL, RENAL, AND SPLENIC INFARCTIONS
2/7
#IDtwitter #microbiology
The patient received antibiotic therapy and surgical aortic valve replacement, and he was doing well without major complications.
3/7
#infecciosas #MedTwitter #Doctor
3/7
#infecciosas #MedTwitter #Doctor
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 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 64-YO ♂️ from a rural community: pain, itching, bleeding in the L ear, & mobile larvae occluding the L external auditory canal
1/4
DOI: 10.1056/NEJMicm2005407
#primarycare #Otolaryngologist
1/4
DOI: 10.1056/NEJMicm2005407
#primarycare #Otolaryngologist
AURAL MYASIS
An ear aspirator, forceps, and irrigation with sterile water were used to remove the larvae
Perforation of the tympanic membrane was identified.
2/4
DOI: 10.1056/NEJMicm2005407
#healthcare #parasitology
An ear aspirator, forceps, and irrigation with sterile water were used to remove the larvae
Perforation of the tympanic membrane was identified.
2/4
DOI: 10.1056/NEJMicm2005407
#healthcare #parasitology
Aural myiasis:
📌infestation of the middle or external ear
📌by fly larvae of the order Diptera.
Risk factors:
✔️chronic otitis media,
✔️diabetes mellitus, and
✔️impaired hygiene.
3/4
DOI: 10.1056/NEJMicm2005407
#Otolaryngology #parasites
📌infestation of the middle or external ear
📌by fly larvae of the order Diptera.
Risk factors:
✔️chronic otitis media,
✔️diabetes mellitus, and
✔️impaired hygiene.
3/4
DOI: 10.1056/NEJMicm2005407
#Otolaryngology #parasites
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 27-YO ♀️, fever and PCR + for #SARSCoV2: One week later, she developed migratory, pruritic urticarial erythematous plaques (wheals) on her face, limbs, trunk, palms & soles, and angioedema of her lips.
¼
DOI: doi.org/10.1503/cmaj.2…
#dermtwitter #IDtwitter #MedTwitter
¼
DOI: doi.org/10.1503/cmaj.2…
#dermtwitter #IDtwitter #MedTwitter
Treated with cetirizine, 12 weeks later, she was still having episodes of urticaria
The most likely diagnosis was CHRONIC SPONTANEOUS URTICARIA TRIGGERED BY SARS-CoV-2, but other considerations were urticarial vasculitis and chronic inducible urticaria.
2/4
#dermatology #Doctor
The most likely diagnosis was CHRONIC SPONTANEOUS URTICARIA TRIGGERED BY SARS-CoV-2, but other considerations were urticarial vasculitis and chronic inducible urticaria.
2/4
#dermatology #Doctor
Urticaria is commonly triggered by viral & bacterial infections, including herpes simplex virus, cytomegalovirus, Epstein–Barr virus, HIV & mycoplasma.
It commonly precedes or occurs concurrently with COVID-19, but can rarely occur after symptoms have resolved.
3/
#virology
It commonly precedes or occurs concurrently with COVID-19, but can rarely occur after symptoms have resolved.
3/
#virology
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 4-YO♂️ treated for tuberculosis for 3 years with chronic cough, kyphosis, recurrent pneumonia, rib osteomyelitis: lung consolidation, mediastinal lymphadenopathy, cervical kyphosis; R-sided paravertebral soft tissue swelling (T3 to T6)
1/7
#IDtwitter #radiology #Orthopedics
1/7
#IDtwitter #radiology #Orthopedics
Serology: ➕for Aspergillus flavus & Aspergillus fumigatus.
Aspiration of the paravertebral soft tissue:
🔬granulomatous inflammation
🧫Acinetobacter spp.
VERTEBRAL OSTEOMYELITIS & ACINETOBACTER SPP PARAVERTEBRAL SOFT TISSUE INFECTION
2/7
#microbiology #MedTwitter
Aspiration of the paravertebral soft tissue:
🔬granulomatous inflammation
🧫Acinetobacter spp.
VERTEBRAL OSTEOMYELITIS & ACINETOBACTER SPP PARAVERTEBRAL SOFT TISSUE INFECTION
2/7
#microbiology #MedTwitter
Nitroblue tetrazolium dye reduction test: no reduction of the nitroblue tetrazolium
No right shift noted in the activated neutrophils in flow cytometry-based DHR assay (E, patient; F, control)
CHRONIC GRANULOMATOUS DISEASE
3/7
DOI: 10.1097/INF.0000000000001221
#medicine
No right shift noted in the activated neutrophils in flow cytometry-based DHR assay (E, patient; F, control)
CHRONIC GRANULOMATOUS DISEASE
3/7
DOI: 10.1097/INF.0000000000001221
#medicine
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
An 80-YO ♂️ diabetes, ischaemic heart disease, & end stage kidney disease requiring haemodialysis:
a radio-opaque nodule in X-ray.
1/2
#radiology #Emergency #healthcare
thelancet.com/article/S0140-…
a radio-opaque nodule in X-ray.
1/2
#radiology #Emergency #healthcare
thelancet.com/article/S0140-…
Continuous glucose monitoring device causes consternation on chest x-ray
2/2
#endocrinology #medicine
doi.org/10.1016/S0140-…
thelancet.com/article/S0140-…
2/2
#endocrinology #medicine
doi.org/10.1016/S0140-…
thelancet.com/article/S0140-…
The radio-opaque object had a complex internal
structure consisting of a microchip, a battery, and an
electronic circuit.
The subcutaneous continuous glucose monitoring
transmitter device had been displaced from deltoid muscle to the patient’s back.
#MedicalStudents
structure consisting of a microchip, a battery, and an
electronic circuit.
The subcutaneous continuous glucose monitoring
transmitter device had been displaced from deltoid muscle to the patient’s back.
#MedicalStudents
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
Lactante ♀️ de 5 meses: fiebre, síntomas catarrales, buen estado general y lesiones redondeadas, algunas anulares con centro violáceo y otras en diana, algo sobreelevadas, desaparecen parcialmente a la vitropresión y de aspecto indurado
1/6
#pediatría #urgencias #MedEd
1/6
#pediatría #urgencias #MedEd
El EDEMA HEMORRÁGICO AGUDO DEL LACTANTE afecta a niños entre los 3 meses y los 2 años.
2/6
✍️B Cabezas y col
continuum.aeped.es/screens/play/1… @ContinuumAEP @aepediatria
#AtencionPrimaria #Pediatrics
2/6
✍️B Cabezas y col
continuum.aeped.es/screens/play/1… @ContinuumAEP @aepediatria
#AtencionPrimaria #Pediatrics
@ContinuumAEP @aepediatria No tiene afectación sistémica, aunque es frecuente la aparición de fiebre.
Es una entidad benigna y el tratamiento es conservador con resolución entre 1 y 3 semanas
3/6
#IDtwitter #MedTwitter
Es una entidad benigna y el tratamiento es conservador con resolución entre 1 y 3 semanas
3/6
#IDtwitter #MedTwitter
82 años♂️, DM, dislipemia, y enfermedad arterial periférica: dolor torácico anginoso con semiología de insuficiencia cardiaca.
ECG:⬆️segmento ST en V2-V3 y DI-AVL.
PCR SARS-CoV-2:➕
Coronariografía: arterias coronarias sin lesiones
1/6
#cardiologia #urgencias #MedicinaInterna
ECG:⬆️segmento ST en V2-V3 y DI-AVL.
PCR SARS-CoV-2:➕
Coronariografía: arterias coronarias sin lesiones
1/6
#cardiologia #urgencias #MedicinaInterna
Ventriculografía: fracción de eyección del ventrículo izquierdo muy reducida a expensas de acinesia apical extensa.
SÍNDROME DE TAKO-TSUBO ASOCIADO A LA INFECCIÓN POR #SARSCoV2
2/6
DOI: 10.1016/j.recesp.2020.06.022
#IDtwitter #Cardiology
SÍNDROME DE TAKO-TSUBO ASOCIADO A LA INFECCIÓN POR #SARSCoV2
2/6
DOI: 10.1016/j.recesp.2020.06.022
#IDtwitter #Cardiology
El ecocardiograma confirmó los hallazgos de la ventriculografía
Rx de tórax: signos de insuficiencia cardiaca leve, sin evidencia de neumonía.
Buena evolución, con mejoría del cuadro de insuficiencia cardiaca.
3/6
#MedTwitter #Doctor
Rx de tórax: signos de insuficiencia cardiaca leve, sin evidencia de neumonía.
Buena evolución, con mejoría del cuadro de insuficiencia cardiaca.
3/6
#MedTwitter #Doctor
A 77-YO ♂️, 2 weeks before herpes zoster on the right T3 and T4 dermatomes, celecoxib to treat new-onset back pain: a coalescing, erythematous eruption that spared the skin surrounding crusted herpes zoster lesions
¼
DOI: 10.1056/NEJMicm2205584
#IDtwitter #dermatology
¼
DOI: 10.1056/NEJMicm2205584
#IDtwitter #dermatology
Skin-biopsy: consistent with a drug rash
Patch testing identified celecoxib as the trigger.
REVERSE ISOTOPIC RESPONSE in a drug rash sparing a healed herpes zoster infection.
2/4
#MedTwitter #dermtwitter #Doctor
Patch testing identified celecoxib as the trigger.
REVERSE ISOTOPIC RESPONSE in a drug rash sparing a healed herpes zoster infection.
2/4
#MedTwitter #dermtwitter #Doctor
A reverse isotopic response or an isotopic nonresponse occurs when:
✔️a new skin disorder by an unrelated disease
✔️spares the area of skin previously affected, healed dermatosis.
The mechanism of this phenomenon is unclear.
3/4
#MedStudentTwitter #resident
✔️a new skin disorder by an unrelated disease
✔️spares the area of skin previously affected, healed dermatosis.
The mechanism of this phenomenon is unclear.
3/4
#MedStudentTwitter #resident
