#IDBoardReview

The Mass at Twelve Months | IDHub Case A heart transplant recipient with fever, night sweats, and a left upper lobe mass one year after transplant. Featuring Epstein-Barr virus, EBV. Interactive infectious diseases case from IDHub.

A classic post-transplant case! #infectiousdiseases #idboardreview #MedEd #IDMeded #MedTwitter #IDsky #Fellowshiplife #fellowship #clinicalcases #clinicalreasoning
infectiousdiseasehub.com/cases/ptld-h...

#idboardreview Person w/AML undergoing induction chemotherapy has febrile neutropenia. Despite on echinocandin, remains febrile and has new, painful, erythematous nodules on his arms & legs. Blood cultures +yeast-like, MALDI-TOF MS id as Trichosporon asahii. treatment? #idsky #idmeded #meded

The 5-Month Mystery | IDHub Case A new murmur and persistent fevers follow heart surgery. Featuring Staphylococcus epidermidis. Interactive infectious diseases case from IDHub.

What Coagulase Means #infectiousdiseases #idboardreview #MedEd #IDMeded #MedTwitter #IDsky #Fellowshiplife #fellowship #clinicalcases #clinicalreasoning

infectiousdiseasehub.com/cases/cons-pve

#idboardreview 40 M living with HIV undetectable on ART few unknown sexual partners, presents w/ redness of b/l eyes of 5d +blurred vision +photophobia, no pain, no exudate, no gritty sensation, no fever, no HA, no focal deficits. dx? #meded #idmedEd #idsky

The Silent Swallow | IDHub Case When aspiration writes a prescription for the brain. Featuring Streptococcus anginosus, Prevotella melaninogenica. Interactive infectious diseases case from IDHub.

Classic ID Clinical Reasoning Case #infectiousdiseases #idboardreview #MedEd #MedTwitter #IDsky #Fellowshiplife #fellowship #clinicalcases #clinicalreasoning infectiousdiseasehub.com/cases/pyogen...

The Long Way Home | IDHub Case A humanitarian aid worker returning from the DRC with progressive neuropsychiatric symptoms and a blood smear that tells the whole story. Featuring Trypanosoma brucei gambiense. Interactive infectious...

Feeling Sleepy... #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/trypan...

#idboardreview 4-month-old infant w/ tender, enlarging swelling in the left axilla x3weeks. Afebrile, growing well. Hx of BCG vaccine at birth. +suppurative, mobile left axillary lymph node. Next step? #idsky #idmeded #meded

#idboardreview 30 MSM PLWH Cd4 800 VL<20 on ART presents w/ 2wk abd cramps & watery diarrhea. Blood agar: gram negative, translucent, flat bacterial colony that appeared to spread across plate. Dx? #medEd #idmedEd #IDsky

A Dangerous Predilection | IDHub Case A man with a known aortic aneurysm, a forgotten diarrheal illness, and blood cultures that explain everything. Featuring Salmonella enterica. Interactive infectious diseases case from IDHub.

An Infectious Differential For Aortitis... #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/salmon...

A Quiet Invasion | IDHub Case A returning traveler with RUQ pain, fever, and a hypodense hepatic lesion — and no culturable bacteria. Featuring Entamoeba histolytica. Interactive infectious diseases case from IDHub.

Always in the differential for liver abscesses! #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/entamo...

#idboardreview 65 M s/p splenectomy 5yrs ago due to accident, from Connecticut admitted in July w/ 1wk of fevers, drenching sweats, fatigue, dark-colored urine, jaundice. Hb 8.5, plt 85k, Tbili 3.5, LDH 650, haptoflobin<10. Treatment? #idsky #idmeded #meded

Not the Cat's Fault | IDHub Case A South Texas woman with cats, a flea, and a fever that didn't need a tick to get started. Featuring Rickettsia typhi. Interactive infectious diseases case from IDHub.

Not the Cat's Fault! #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/ricket...

The Wheel Turns | IDHub Case A nosocomial gastroenteritis outbreak on a surgical ward and a virus whose structure changes everything about how you contain it. Featuring Rotavirus. Interactive infectious diseases case from IDHub.

A Viral Wheel #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/rotavi...

Hidden in Plain Sight | IDHub Case A patient with newly diagnosed HIV, a CD4 of 18, and a bone marrow that told the whole story. Featuring Histoplasma capsulatum. Interactive infectious diseases case from IDHub.

Hidden in Plain Sight #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/histop...

The Great Imitator | IDHub Case A rash that reaches the palms and a genital sore the patient thought had healed. Featuring Treponema pallidum. Interactive infectious diseases case from IDHub.

The Title Says it All #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/second...

The Copper Penny Sign | IDHub Case A Brazilian farmer with a 3-year verrucous plaque and a pathognomonic tissue finding. Featuring Fonsecaea pedrosoi. Interactive infectious diseases case from IDHub.

Every time I see a penny #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/chromo...

Forgotten but Not Gone | IDHub Case An unvaccinated adult with bacterial meningitis and a Gram stain that tells the whole story. Featuring Haemophilus influenzae, Haemophilus influenzae type b. Interactive infectious diseases case from ...

Forgotten but Not Gone #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/hflu-m...

Memory Lost | IDHub Case A post-BMT patient with progressive amnesia, seizures, and a viral PCR result that demands a second look. Featuring HHV-6B, Human herpesvirus 6. Interactive infectious diseases case from IDHub.

Today is the 6th... #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/hhv6-e...

Positive, But Wrong | IDHub Case A neutropenic BMT recipient with a positive CrAg and skin lesions that pointed elsewhere. Featuring Trichosporon asahii. Interactive infectious diseases case from IDHub.

A false positive CrAg? #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/tricho...

The Sweet Smell of Trouble | IDHub Case Fever, weight loss, and a multiloculated liver abscess — with a blood culture plate that smells like butterscotch. Featuring Streptococcus anginosus group, Streptococcus anginosus, Streptococcus inter...

A Sweet Organism #IDsky #idboardreview #idmeded #meded #infectiousDiseases
infectiousdiseasehub.com/cases/strep-...

The Loyal Companion | IDHub Case Septic shock and meningitis in an asplenic patient whose dog never bit her. Featuring Capnocytophaga canimorsus. Interactive infectious diseases case from IDHub.

What's the most likely diagnosis? #IDsky #idboardreview #idmeded #meded #infectiousDiseases
infectiousdiseasehub.com/cases/capnoc...

Fever From the Forest | IDHub Case Fever, rash, and a painless black-crusted ulcer after trekking in rural Nepal. Featuring Orientia tsutsugamushi. Interactive infectious diseases case from IDHub.

What's the most likely diagnosis? #IDsky #idboardreview #idmeded #meded #infectiousDiseases infectiousdiseasehub.com/cases/orientia

#idboardreview 54 yo M s/p heart transplant recipient 3 mo ago, on tacrolimus, mycophenolate, dx w/ invasive pulmonary aspergillosis & started on voriconazole. 3 days later +tremors. confusion. Tacro level 25. Interaction? #idsky #idmeded #meded

#idboardreview PLWH not in care, CD4 35, VL 1mil w/
severe RUQ pain, nausea, and intermittent low-grade fever x1wk. AlkP 850 w/mild inc transaminases. US: thickening of common bile duct &intrahepatic bile duct dilatation. Stool +Cryptosporidium spp. Next step? #idsky #idmeded #meded

#idboardreview 35 F s/p kidney transplant 4mo ago w/cough, dyspnea. 1 mo later:H/A, vertigo, ataxia. No travel/animal exposure, grows indoor potted plants. CT chest wedge shaped opacity. CT head brain abscess. Skin lesion. Biopsy: Fungal forms brown on hematoxylin-eosin stain. #medEd #idmedEd #IDsky

#idboardreview 60 M w/atrial fibrillation & recent esophageal candidiasis on fluconazole x2wks. Current meds: warfarin, metoprolol, lisinopril. Seen in clinic w/several large bruises on arms & legs. Which of the following best explains the mechanism of this interaction? #idsky #meded #idmeded

#idboardreview 30 M PLWH not on ART, CD4 22, VL 70k w/ worsening "floaters" & blurred vision in L eye x 2 wks. Funduscopy: yellowish-white retinal necrotic lesions w/adjacent hemorrhage along superior temporal artery. Lesion is located in peripheral retina. Treatment? #idsky #idmeded #meded

#idboardreview 62 M from rural S Korea consumes fresh water fish w/RUQ abd pain, wt loss, intermittent jaundice x 2mo. Ct: 4cm mass L hepatic lobe w/dilated bile ducts. ELISA+Clonorchis. Pathology linking chronic infection to biliary tract malignancy? #idsky #idmeded #meded

#idboardreview 45 M 2-months post-kidney transplant on tacrolimus, mycophenolate, prednisone. What advice can you provide regarding live vaccines for her 8-year-old daughter and 40-year-old wife? #idsky #idmeded #meded #vaccination

#idboardreview Person w/ borderline leprosy was started on rifampicin, dapsone, clofazimine 4 wks ago, now w/F 102F, diffuse exfoliative rash, cheilits, subconjuctival hemorrhage, b/l ulnar claw hand deformity, ALT 540, AST 250, bil 3.8, Hb 9. dx? #idsky #idmeded #meded