Indiana University Infectious Diseases Fellowship @IUIDfellowship Twitter profile

Last Seen Profiles

@popo_coon

@Bablu_0184

@stwmaniax

@detalismaiara

@purp03

@papico__maru

@asd39012123

@EmbZambia

@merenilth

@SilasSharp5

@HavvaIskan

@Hijabbacol2883

@jek_geraldine

@utdac3

@SebastianF23470

@XiMinister

@AndreaRosatiMD

@MantoMa08112173

@osuhistorydept

@bladeyed

@votes_17

@lauraepugliesi

@gilpineda_

@xXEvilnatXx

@J_GallagherAD3

@velhacristhine

@velascorules

@OLuSoftball

@J_Voorhees1980

@teregamwt2

@MeruSnowmew

@am_kohlho

@dean_deanlova

@Nicole_PKelly3

@fyb_kei

@manipulator___

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A kid presents w/ ink splatter lesions x2 d which can’t be washed off. His friends have similar lesions, they were catching insects & butterflies prior to lesions. Dx? #meded #IDTwitter #dermtwitter

23

171

703

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 50 Japanese male w/ 1 month of fatigue, generalized lymphadenopathy, wbc 90k w/60% of circulating atypical lymphocytes along with flower cells (lobulated nuclear configuration). dx? #medEd #idmeded #idtwitter

22

152

524

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#IdBoardReview Amazonian farmer w/ multiple skin nodules of L leg x20+yrs (which itch & bleed frequently)started post penetrating injury w/ thorn of a plant. biopsy chronic granulomatous process: dermis w/ thick walled round fungi forming single chains. #IDTwitter #meded

20

102

399

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#IdBoardReview 2 days after being bitten by his Mexican pet iguana on the posterior midcalf, a pt presents w/ cellulitis. Organism? #medEd #idmedEd #IDTwitter #dermtwitter

14

74

359

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview 1 yr old kid living in close contact w/ farm animals in rural highlands of southwest Ethiopia w/ 2 black eschars on thigh & painful groin lymphadenopathy. lesions started as tiny papules 4–5d prior. Biopsy: Gram positive rod #IDtwitter

17

84

337

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A kid from Brazil w/ dark spots on palm x1mo now converged to salt & pepper macule. septate, dematiaceous hyphae & yeast-like cells w/ spores. Culture w/moist, shiny, rough & black colony. #IDtwitter #dermtwitter #meded

8

85

328

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

1 year

#idboardreview An adolescent presents fever, cough, +infiltrate on CXR, rapid onset of lesions on skin vescicles/blisters & mucositis, conjuctivitis. dx? #medEd #idmedEd #IDtwitter

9

62

319

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 60 M farmer 👨‍🌾 from Colombia🇨🇴 w/ 3 months of fever, multiple skin lesions & 10 kg weight loss. Diagnosis? #MedEd #idmedEd

27

102

300

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 40 F had trauma to foot while gardening and initially had a small nodule but slowly progressed to multiple lesions over-few months, not improved with abx. Diagnosis? #medEd #idmedEd #IDtwitter

18

101

267

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A kid was bitten by an octopus 🐙 while swimming. 2 days later: cherry-sized, red, erythematous wound w/ hemorrhagic nodus in center that didn’t heal for months. Once excised: healed completely. Organism? Dx? #medEd #idmedEd #IDtwitter

13

66

252

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#IdBoardReview Gold miner from rural Colombia w/high fevers, generalized lymphadenopathy, abd pain & vertigo x2 mo. Ataxia, brain lesions, cecum thickening Biopsy: narrow-based budding yeast cells #idtwitter #idmeded #meded

8

73

237

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#IdBoardReview Pt w/ skin changes of b/l legs. History +sitting in front of an open fire for warmth in winter. Exam nonblanching brown lichenified hyperpigmentation in a reticular pattern on both anterior shins & ankles #IDtwitter #dermtwitter #meded

15

67

233

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#IdBoardReview Pt from India w/milky urine x6mo, +wt loss & b/l LE pitting edema. UA triglycerides elevated, 24-hr urine protein 6.5 g. Centrifuged urine revealed sheathed organism. #IDtwitter #meded #idmeded

8

79

227

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview A group of adults in midwest USA develop an illness during a banquet food of mahi-mahi (tasted peppery), wonton soup & corn. Half had sx in 20min: burning mouth, flushing, headache, dizziness. Couple had urticarial reaction. Illness lasted 10 hrs #idtwitter

7

58

229

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview An adolescent presents fever, cough, +infiltrate on CXR, rapid onset of lesions on skin vescicles/blisters & mucositis, conjuctivitis. dx? #medEd #idmedEd #idtwitter

13

61

220

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#IdBoardReview 25 F recent Caribbean vacation, walked barefoot on sand and now with creepy rash. diagnosis? #idmedEd #MedEd

29

52

216

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview Colombian farmer w/ 2 mo of poor appetite, malaise, high fevers, 20 lb wt loss, night sweats, progressive exertional dyspnea. +pulsus paradoxus. pericardiocentesis 2k wbc: 70% Lymph, ADA 234 U/L #IDTwitter #idmeded #MedEd

17

62

211

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview 20 F cough, F, fatigue not improving on azithro, no travel, +gardening: wbc 17k 90%pmn, CXR patchy nodules: biopsy necrotizing granulomas; stain Aspergillus. Growing up, pt & her brother had several episodes of cervical lymphadenitis. How to make dx? #idtwitter

6

54

208

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#IdBoardReview Pt w/liver cirrhosis presents w/ abd pain, watery diarrhea, leg discoloration x1d. hypotensive,tachy, hypothermia scleral icterus, abd distension, skin findings shown. Wbc 2k, plt30,Tbili5, Cr6. BC curved Gram-neg bacilli #idtwitter #idmeded #mededchat

16

72

201

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview Pruritic lesions on arms and torso of a of a child from the Solomon Islands #idtwitter #dermtwitter #meded #idmeded

12

49

203

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 30 M Paraguay 🇵🇾 living w/ HIV CD4 50 VL 100k presents w/ seizure, no travel/animal contact. Oriented to self, dysarthria, csf (wbc 15 100% lymph, protein80, gluc35). Dx? #medEd #idmedEd #idtwitter

11

65

200

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 60 M asymptomatic(farmer from rural county, south of Houston. farming at night in open fields, many years of hunting/skinning deer) gave blood donation. EKG: 1st degree AVblock. diagnosis? #medEd #idmedEd

19

65

198

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview #meded #idmeded #IDtwitter #dermtwitter #MedTwitter Infectious differential diagnosis of rash involving palms & soles

3

64

194

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 60 M nurse, avid gardner, digs for clams near marshy area, pain/swelling of finger x 6mo not improved on cephalexin, amox-clav or clinda. MRI tenosynovitis +rice bodies in soft tissues. dx? #medEd #idmedEd #idtwitter #dermtwitter

8

52

190

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview An animal trapper w/ ulcerative lesion on his arm. Travel to Bolivia 2mo ago & lesion grown worse since his return. A biopsy/touch prep smear & Giemsa stained. #idtwitter #idmeded #meded

9

64

192

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview Pt pricked his thumb w/ wood splinter. 1 wk later, painless papule at injury site & over next weeks, tender lymphangitis developed. No improvement w/oral cephalexin or amox-clavulanate. No fever nor systemic sx, no travel/water exposure #IDTwitter #idmeded

19

54

189

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

1 year

#idboardreview recently slaughtered sheep 🐑 for Eid & now presents with this lesion. Diagnosis? #MedEd #IDMedEd #idtwitter

10

32

184

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 40 homeless male from NY admitted with fever, chills, headache, myalgias. Diagnosis? #meded #idmedEd

24

65

186

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview a pt works at Texas 🐎& exposure to 🐇 🐿 🐈 presents w/ mild conjunctivitis & mild periorbital cellulitis, no pain on eye movements. No improvement on antibiotics, antivirals. Bartonella/tularemia neg. #idmedEd #IDTwitter

9

49

186

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview 50 F immigrated from Bangladesh 15 yrs ago now w/20 lb wt loss x2 mo. Normal exam, mild eosinophilia. colonoscopy performed & had brown-colored live worm on ileocecal valve #IDTwitter #meded

8

50

184

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 40 F who has well water in her home and works at daycare presents w/ greasy foul diarrhea w/ abd pain, bloating, flatulence and weight loss & fatigue. diagnosis? #idmeded #medEd

24

61

180

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A drummer w/ painless ulcer on hand, initially pinpoint but now enlarging with edema, redness, febrile/tachy. dx? #meded #idmeded #idtwitter #dermtwitter

20

44

185

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

1 year

#idboardreview 60 M asymptomatic farmer from rural county, south of Houston. farming at night in open fields, many years of hunting/skinning deer, gave blood donation. EKG: 1st degree AVblock. diagnosis? #medEd #idmedEd #idtwitter

22

45

176

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 30 F w/ 4th episode of cellulitis of ear. Responds slowly to abx, no ear trauma/piercing recently. +chronic nasal stuffiness, saddle-nose deformity. dx? #meded #idmeded #idtwitter

13

43

173

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview asplenic man residing in California hospitalized with 104º F fever, hematuria, myalgia, fatigue and thrombocytopenia. Recent travel to Arizona, Kansas and Oklahoma. #idtwitter #idmeded #meded

18

61

170

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#IdboardReview 15 boy swam in natural hot spring fresh water pool 2 week ago & now presents with headache, vomiting, fever, mental status changes x1d. Rest fail/vent. Ct head: diffuse edema. CSF shown. diagnosis? #medEd #idmedEd #idtwitter

18

73

170

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A kid recently moved from Democratic Republic of Congo to US treated for mild, non-immune hemolytic anemia & clinically stable. Blood smears stained with Wright-Giemsa are shown. Dx? (Tricky) #idmedEd #medEd #idtwitter

11

46

170

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview Pt recent travel to Malaysia, spend time on the beach now w/ this itchy rash x2wks. Also w/ cough, occasional dyspnea, eosinophilia, ill defined reticulonodular infiltrates on chest CT #idtwitter #idmeded #MedEd

11

51

170

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#IdBoardReview Pt w/ cirrhosis splinter injury to finger from citrus tree 1 wk ago now/ fever, diffuse rash, arthralgia. Blood cultures w/gram+rods. Dx? #meded #idmeded #idtwitter

7

47

166

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

7 months

#idboardreview cisgender female tests positive for HIV (previously neg). Monogamous with 1 male partner (who tests negative), no history of STIs/injection drug use/transfusion. Patient had received 'vampire facial' at a non-licensed spa few months ago. Route? #idxposts #idtwitter

5

60

164

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#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

12

55

160

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview Patient w/ travel to Pakistan 🇵🇰 but has been in USA 🇺🇸 for 8+months presents w/ fever & myalgia. Giemsa stained ring w/ thick sturdy cytoplasm & amoeboid structure. Dx? #medEd #idmedEd #IDtwitter

5

55

160

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview #meded #MedTwitter #idmeded #rash #IDTwitter

9

43

158

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

5 months

#IDboardReview 60 M carpenter w/ non-healing painless leg ulcers x1mo, recent travel to Belize, no improvement w/doxy. Diagnosis? #medEd #IdmedEd #idtwitter

4

27

158

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A breastfeeding 🤱 who pumps has noticed neon pink color of plastic milk bottle used to feed the baby. The breast milk has been normal in color during pumping, in tubing & bottles stored in refrigerator before feedings. Dx? #medEd #idmeded #IDTwitter

10

56

158

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 40 M from Brazil traveled to Angola x 2 wks. 1 wk post travel: small ulcerative lesion on neck. 2 mo later: fever, headache, fatigue, lymphadenopathy. Blood giemsa stained smear shown. Dx? #medEd #idmedEd #idtwitter

19

52

156

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview Teenager w/L eye discomfort, watery eye discharge, conjunctival redness. Low grade feverx1wk. Tender swelling in front of the ear. Pt is monogamous w/heterosexual partner, has one kitten and 1 dog, no scratches/bites reported #idtwitter pic for ref #idmeded #MedEd

6

32

153

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

Day200 of #idboardreview A college student presents w/ headache, fever, chills. Returned 2 days ago from Brazil: rafting & camping trip for two weeks. Diagnosis? #medEd #idmedEd

10

35

151

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview After a picnic where macaroni, frozen mixed vegetables, ground beef, turkey & gravy were served, half of attendants have nausea, abd cramps & diarrhea. Average incubation 10 hours. No fever/vomiting. Everyone recovered in 24hrs. Dx? #meded #idmeded #idtwitter

5

49

145

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview 20 yr student from St Louis progressive headache of 3d, brought due to 102F, confusion in January (Travel to China Sep-Nov, Tokyo/San Fransisco in Dec). MRI temporal lobe enhancement. LP csf wbc400 (98%lymph), normal glucose, protein 110; pcr pending #idtwitter

8

40

146

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#IdBoardReview 50 🐖 farmer presents w/ abdominal cramps & diarrhea. Diagnosis? #MedEd #idmedEd

11

63

141

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview Pt w/ plasmodium falciparum 14%parasitemia, fever, dyspnea, confusion. Starting artesunate. Cr 2, Hb 12, Lactate 3, plt 20k, more confusion/hypotension, cxr capillary leak. What else beside antimalarial treatment? #idtwitter #MedEd

7

46

144

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

11 months

#idboardreview 15yo boy swam in natural hot spring fresh water pool 2weeks ago & now presents with headache, vomiting, fever, mental status changes x1d. Resp fail on vent. Ct head: diffuse edema. CSF shown. diagnosis? #medEd #idmedEd #idtwitter

12

44

140

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 20 M farmer consumes unpasteurized milk presents w/ several months of headache, fever & now ill with projectile vomiting, F 106F, myalgia, back pain, areflexia. Csf 100wbc 70%pmn, protein150, gluc20. Dx? #medEd #idmedEd #idtwitter

13

45

142

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A pt +contact w/ armadillos presents w/ painless & progressive swelling R side of his neckx2 years. +greater auricular neuropathy. Skin split biopsy shown. Dx? #medEd #idmedEd #IDTwitter #dermtwitter

14

33

138

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 60 F RA on chronic steroids presents w/ progressive R wrist pain/swelling s/p I&D, progressively worse erythema spreading up the arm. Tendon micro+small gray colonies & thin, septate hyphae branching at acute angles. Diagnosis? #medEd #idmeded #idtwitter

10

43

134

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 25 M travel to rainforest in Peru 6mo ago presents w/ painless, ulcerating lesion with crusting & mild swelling on arm. A smear of a scraping from biopsy site stained with Giemsa stain. Dx? #medEd #idmedEd #idtwitter

11

41

137

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview This rash was found on a stuporous adult one morning. He had appeared well the night before other than some “flu like” symptoms. Dx? #medEd #idmedEd #idtwitter

10

48

134

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#IdBoardReview A Peruvian farmer w/6 yrs of progressive swelling of L foot. Swelling & sinuses draining purulent discharge with white grains. MRI Spherical lesions showing hyperintense signal, so-called dot-in-circle sign #IDTwitter #IdMedEd

9

34

135

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 50 M ESLD 🎣 at gulf shore and now presents w/ painful blister of leg that’s progressing rapidly. Diagnosis? #medEd #idmedEd #IDtwitter

11

37

131

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A pt w/skin lesions on flank, thighs, feet & wrist x couple of months, not improved w/ doxy, now progressive back pain and wrist pain. CT lytic lesions in spine. biopsy shown. Dx? #medEd #idmeded #idtwitter #dermtwitter

10

33

134

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview Colombian farmer w/fevers & progressive R eyelid swelling/blepharitis & purulent drainage x6wk, not improved w/ topical abx or steroids, no periorbital cellulitis. Biopsy wheeled budding yeast cells. #IDtwitter #usmeded #meded

10

41

134

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

1 year

#idboardreview 50F returned from Europe 2 wks ago, has been tired, now w/ F & morbiliform rash on face quickly spread to trunk & legs, involves palms & soles. Pharyngeal erythema, leukopenia, thrombocytopenia, mild transaminitis. What type of isolation? #medEd #idmedEd #IDtwitter

10

34

131

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview a landscaper w/aortic valve replacement 6mo ago w/ abd pain & cold LE; Ct aortic pseudoaneurysm s/p thrombectomy: thrombus +pigmented septate hyphae 🥐 microconidia & Fontana-Masson stain demonstrated melanin in cell wall #meded #idtwitter #idmeded

10

52

131

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview 50 M w/ F, chills, myalgia, R inguinal lymphadenopathy; eschar by ankle. Initial BP100/60 HR 70, sinus rhythm. 10d later dizzy, Brady, sick sinus syndrome #IDtwitter #ismeded #meded

11

43

130

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#IdBoardReview a patient presents w/ acute onset of 👁 pain, visual blurring, photophobia, watery ocular discharge & red eye. Dx? #medEd #idmedEd #IDtwitter

10

37

130

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 40 M originally from Cameroon, also travel to Ghana & Mali, now w/6 mo progressive weakness requiring wheelchair use,lethargy, 30lb wt loss, confusion. CSF lymphocytic pleocytosis. dx? #meded #idmeded #IDtwitter

7

36

131

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview Pt recently took amoxicillin for sinusitis & now w/ fever, abd pain, bloody diarrhea. Colonoscopy hemorrhagic colitis without pseudomembranes. Cdiff neg. Stool GNR. dx? #meded #idmeded #idtwitter

5

38

130

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 25 military M recent return from Iraq: F, myalgia, arthralgia, HA, cough x1wk, mild abd pain, exposure to goat herders & bought a wool rug. +sick contacts w/ flu like sx. wbc3k, plt 110 Cr1.2, mild ⬆️AST/ALT. +interstitial pneumonia. dx? #medEd #idmedEd #idtwitter

8

37

125

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview 17 M w/hx of meningitis s/p course of iv ceftriaxone. Now 2 wks later present with fever, RUQ abd pain. Ultrasound: gallstones that disappeared on repeat imaging in 2 weeks. dx? #idtwitter #idmeded #meded

6

41

129

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 30 M who injects heroin presents w/ weakness in arms and now legs are giving out followed by blurred doubled vision x12 hrs, +dyspnea, no sensory deficit, no GI sx. dx? #medEd #idmeded #idtwitter

13

42

127

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 30 M from western 🇺🇸 visited Middle East where symptoms of recurrent fevers >102F, headaches, myalgia, chills started 3 wks ago. Peripheral blood smear shown. Dx? #medEd #idmedEd #IDtwitter

10

39

127

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A persian farmer with fever, back pain, anemia, thrombocytopenia, inc LDH, S1 septic arthritis, BC Catalase+, small, gray, convex, smooth colonies. No ID by Verigene GP or MALDI. Misleading/tricky gram stain. #idtwitter #idmeded #MedEd

5

37

125

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 25 F 🐕 bite 🤚 3d ago (no hand hygiene or medical care) presents w/ intermittent feeling hot & cold w/ worsening H/A, palpitations, progressive difficulty opening jaw & walking. EMG sustained motor unit activity in masseter.Dx? #medEd #idmedEd #IDtwitter

11

38

125

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 20 M used disposable lenses x 3mo: 3wks ago:cloudy vision, photophobia +pain in 👁. Pain ⬆️ on topical abx & now with ulcer persistent & worsening. Diagnosis? #medEd #IDMedEd

15

42

121

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 40 M lived in refugee camps for decades, had 🐐 ,HIV undetectable on ART now w/ recent 20 lb Wt loss & 1 mo fever, chills, abd bloating, hypopigmented lesion on back. Diagnosis? #medEd #idmedEd #idtwitter

5

35

122

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview Young female brings stool sample with worm-like object. 5 years ago: she spend 2 months in Mexico & had seen similar objects in her stool x 5 years. Dx? #medEd #idmedEd #idtwitter

9

38

123

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 30 Australian 🇦🇺 sheep 🐑 farmer 👨‍🌾 w/ 2 wks of fatigue & epitrochlear lymphadenitis. Biopsy necrotic granuloma. Diagnosis? #medEd #idmedEd #IDtwitter

6

39

124

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A farmer from Thailand who likes to eat naem/fermented pork sausage presents w/ fever, headache, neck rigidity: csf 200wbc 60%pmn, 40%lymph, low glucose, high protein, culture gray-white, α-hemolytic colonies, dx? #meded #idmeded #idtwitter

8

36

123

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview 25 M living with HIV inconsistent ART CD4 400, VL 60k, recent mud race, insect bites now w/10days of dark urine, jaundice, fever, malaise, RUQ pain, salmon maculopapular rash trunk, palms/soles, bili8, Alk1200, AST120, ALT135 #idtwitter #meded #idmeded

6

35

120

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idtwitter #idboardreview by our now faculty @mmcclean1 @CIDJournal @SamirGu02674263 58 M Indiana farmer using manuer fertilizer x months w/progressive cough, dyspnea, pleuritic chest pain, chills x11mo: CT: pulm nodules. BC: gram+bacilli #meded

3

26

117

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview Pt w/ R knee & b/l ankle joint point x1wk. 2 wks later, extensive erythema nodosum on legs & non-tender supraclavicular lymph node: biopsy caseating granuloma. #IDTwitter #idmeded #meded

2

35

118

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

2 years

#idboardreview Pt recently camped in Idaho, cabin w/ mouse droppings, now w/ dyspnea x3d, febrile, tachy, shallow breaths, Hct50, wbc 10k, plt 100k. Intubated, copious watery secretions: resp cultures neg #idtwitter #idmeded #MedEd

13

46

116

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview A girl presents w/ fever, lymphadenopathy & circumscribed nodules with central necrosis and inflamed edges on neck, chest & abdomen. Recently bought a pet rat who died within a week. Dx? #medEd #idmedEd #IDTwitter

8

32

116

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview unvaccinated 7 yo w/high fever, poor appetite, sore throat, progressively swollen neck. +thick gray pseudomembrane covering pharynx & tonsils. Treated w/ abx better by day7 the. Day9 w/chest pain, ⬆️ck, EKG R BBB, Dx? #meded #idmeded #IDtwitter

19

35

117

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreview 60 F who handles hares w/ 1wk lesion on R 2nd finger +F/chills, HA, axillary lymphadenopathy, no improvement on amoxicillin/clav. Culture+ colonies 2 to 4 mm in size, greenish-white, round, smooth, slightly mucoid. #idmedEd #medEd #IDTwitter

11

34

118

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

3 years

#idboardreveiw Patient living with HIV CD4 100 with fever, adenopathy and this rash. No other symptoms. How would you treat? #idtwitter #meded #idtwitter

13

47

115

Indiana University Infectious Diseases Fellowship

@IUIDfellowship

4 years

#idboardreview 30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago during tornado: started as nodule and now progressed to eschar. Diagnosis? #medEd #idmedEd

5

34

117