#IDTwitter #SIDPharm #TwitteRx @IdVilchez #IDrounds: patient reports history of serious rash days after amoxicillin use for dental infection < 5-years prior; resolved with a short course of oral corticosteroids. Which type of reaction is a contraindication to skin testing?

#IDTwitter @ID_fellows #SIDPharm @TxID_Fellows #TwitteRx @IdVilchez #IDrounds: oncology patient on trimethoprim-sulfamethoxazole (SXT), acyclovir (ACY), & posaconazole (POS) presents w/ worsening HTN, ⬇️K, ⬆️ Na, & ⬇️ extremity edema. Stable Cr & ⬆️ HCO3. Most likely cause:

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows #TwitteRx @IdVilchez #IDrounds: fisherman w/ EtOH use disorder seen w/ MAP 40-50, WBC 35 & bilateral lower extremity hemorrhage bullous lesions. Records report history of raw oyster ingestion. Most likely cause:

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows #TwitteRx @IdVilchez #IDrounds: crab fisherman working in Chesapeake Bay waters presents with painful red rash on his right hand for several days after crab spine injury. Wound culture with GP+ rod. Most likely:

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows @IdVilchez 1/ #IDrounds: Cerebral Spinal Fluid (CSF) analysis is the most valuable indicator of infectious diseases of the Central Nervous System (CNS). Understanding the three (3) basic CSF types can be useful.

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows #TwitteRx @IdVilchez #IDrounds: immunocompetent patient seen for non-bloody diarrhea. No nausea/vomiting. Temperature 37.9C. Family members with similar diarrhea episodes 3-4 days prior. Which is most likely:

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows @IdVilchez #IDrounds: Previously healthy male farmer w/ AV mobile echo density. BC prior to ABX remained negative. Records indicate Rx for culture-negative CAP w/ hepatitis 6-months prior. Which is most likely:

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows @IdVilchez #IDrounds: Non-HIV male smoker admitted to MICU with severe CAP. Vitals: T 42C, RR 28, & O2 70% RA. WBC 19, Na 120, & ALT 62. Employed with cleaning horse stables at a racetrack. Which is most likely?

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows @IdVilchez #IDrounds: asymptomatic immunocompetent failed blood donor seen for positive HTLV-1/2 serology with chronic Strongyloides stercoralis coinfection. Recalling treatment failures, you: IVM=ivermectin

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows @IdVilchez #IDrounds: called about IDDM patient with ESRD scheduled for DDKT. Donor T pallidum-AB and RPR positive with no documentation of treatment. Your recommendation(s) for treatment for the recipient is:

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows @IdVilchez #IDrounds: Lung Tx pt (Tac+MMF) w/ pulmonary Aspergillosis on VRC for 6mo w/ joint aches. nml ROM. Plain-film extremities w/periosteal thickening, ⬆️ AP, ⬆️ Fluoride but nml TSH & VitA. Likely dx:

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @TxID_Fellows @IdVilchez #IDrounds: called to evaluate renal transplant patient (7-years prior taking tacrolimus, prednisone, and mycophenolate) with right leg purulent indurated ulcer with rolled edges. Most likely diagnosis:

#IDTwitter @ID_fellows #SIDPharm @ASMicrobiology @IdVilchez #IDrounds: immunocompetent patient. New fever/headache. Near drowning event/bronchitis treated with corticosteroids 1-month prior. Lymphocytic CSF pleocytosis with negative smear and cultures. Most likely cause is:

Happy #FungalFriday 🍄 Young male presents with significant pain and hearing loss over the last 3 months 2° to ear infection. Previously treated with topical drugs, oral and recently IM abx. What’s in your ddx? #MicroRounds #IDRounds

cultures NGTD ❓What else would you ask for/order?#IDRounds

#IDRounds #IDTwitter #MedTwitter #AcademicTwitter 70 YO M presents with R sided facial droop, aphasia, and R sided weakness Brain MRI: left pontine infarct

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Today in #IDRounds with @NirjaMehta1 we talked with our learners about #Syphilis and we use as resource febrilepodcast.com/21-sailors-sal… #MedEd @IDSAMedEdCOP

#IDRounds #Tuberculosis Mutaciones de resistencia a los 4 principales anti-TB's: Rifampicina: rpoB Isoniacida: inhA katG Etambutol: embB Pirazinamida: pncA

Fantastic teaching session on bacterial mechanism of resistance with our ID pharmacy @LadowTiffany during #IDRounds. #MedTwitter #WeareID 😎🤓

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Seen during #IDRounds today Lift Every Voice and Sing – often called “The Black National Anthem” – was written as a poem by NAACP leader James Weldon Johnson (1871-1938) & then set to music by his brother John Rosamond Johnson (1873-1954) in 1899 #BlackHistoryMonth