Infectious Disease

1/ Why so floppy? Today we learn about neonatal botulism from our fantastic teaching senior, Dr. Caitlin Billingham! What % of botulism cases are attributed to honey?

Another @CuriousClinPod dropped with @HannahRAbrams @AvrahamCooperMD @tony_breu

Episode 14: Why do septic pulmonary emboli occur in the periphery and bases of the lungs?
http://curiousclinicians.com/2020/11/25/episode-14-septic-pulmonary-embolism/

Listen and check out the show notes below 👇

21/M student p/w 5 d +fever, headache, myalgia. Exam: +tender palpable spleen, b/l cervical LNs, largest 2x2 cm. WBC 14 w/ atypical lymphs. 4th gen HIV/RNA neg. No PMH. 5 other students developed same Sx around 10 d after a picnic & hiking trip in Missouri. Most likely cause?

Let's talk about microbiology in infertility and pelvic inflammatory disease!

A 🧵:

Antifungals have come a LOOOONGGG way but we still lose many battles against these stubborn bugs😢

Let's focus on 𝐕𝐨𝐫𝐢𝐜𝐨𝐧𝐚𝐳𝐨𝐥𝐞 today !!

A short thread.

#antifungals #IDTwitter #oncology #MedTwitter #MedStudentTwitter #hematology

If you have not listened to the @CuriousClinPod most recent podcast (Episode 10: Why does metronidazole treat both bacterial and parasitic infections?) then I suggest you tune in.

http://curiousclinicians.com/2020/09/30/why-does-metronidazole-treat-both-bacterial-and-parasitic-infections/

I'll summarize their show notes here in short #medtweetorial

(1/6) A 6-year-old boy died from infection due to Naegleria fowleri in Lake Jackson, Texas, in early September 2020.

3/11 environmental water samples tested positive for Naegleria, including from a fire hydrant, a civic center play fountain, and a home water hose. https://twitter.com/TCEQ/status/1309888620791238656

#ScholarlySunday
Case by @cristinacorsini

63F. AML s/p BMT. Chronic back pain Rx transdermal patch.

Cellulitis. Blood Cx: MRSA
Rx: Dapto —> linezolid. 5d later: fever, sweats, tremors, abd pain, N/V/diarrhea. BP 130/85 P113. Cellulitis improving

What is the cause? #MayoIDQ

#idboardreview 🐁 in 🏡
15 F Initially presented outpatient w/ F, photophobia x5d➡️improved w/ supportive care➡️1 wk later:HA & stiff neck, F 102F, csf ⬆️wbc 68% lymph, culture negative. Diagnosis? #medEd #IDMedEd

First tweetorial of the new academic year. Coagulase negative Staphylococci (CoNS) bacteremia is a frequent ID consult. So how do the pros handle the CoNS? Here is a quick generalized approach I use by creating a mnemonic out of CoNS. 1/10

ID Miscellany|physical Exam|Signs|Humanities #idmesh
1/20
𝙁𝙀𝙑𝙀𝙍 𝙋𝘼𝙏𝙏𝙀𝙍𝙉𝙎: 𝘼 𝙇𝙊𝙎𝙏 𝘼𝙍𝙏?

Great! Three quarters find inquiring about fever patterns still useful. We will review some of the most important fever patterns.

@ID_fellows

https://twitter.com/WuidQ/status/1305649807395033088?s=20

1/14
Why do we feel cold (i.e., experience "chills") when we have a fever? Shouldn't we feel hot?

And what are rigors?

Answers to these questions will help us better understand when we should obtain blood cultures.

When do you think is the best time to draw them?

#MayoIDQ Case by Dr. @N_CastilloMD

68F. Aortic stenosis, COPD, RA.
CC: chest pain / dyspnea
CXR: CHF. TEE: AV mass / perivalvular abscess
Routine blood cultures (-)

You order serologies of culture-negative endocarditis. Which of the following is most compatible with Q fever?

Contaminated blood cultures have been recognized as a troublesome issue for decades. This comes at a big cost, with additional costs associated with this unnecessary treatment were approximately $1,000 per patient.

Welcome to a Tweetorial. This week I learned there’s a such thing as chronic meningitis, so I decided to make a 🧵:

Main Source: Harrison's Infectious Disease, Ch. 37

#IDBoardReview 50 M vacationing in Caribbean & had a meal of snapper🐠 last night, now presents with N, V, D, HA, weakness in legs, tingling in legs/mouth, cold objects feel hot, bradycardia. Diagnosis? #medEd #IdMedEd