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

#idboardreview PLWH (CD4 50) admitted w/Pneumocystis jirovecii pneumonia (PJP) pneumonia on trimethoprim-sulfamethoxazole (TMP-SMX) at 15 mg/kg/day. On day5: petechiae, gingival bleeding, no fever/no rash. drop in platelets 8k. Hb normal, no schistocytes. dx? #idmeded #meded #idsky

#idboardreview 62 M w/fever, cough, dyspnea, diarrhea x5d. Retired landscaper who spent the weekend potting plants & moving compost in his garden. wbc10k, Na130, Tbili7, Alk270, AST 75, ALT 110 , LLL consolidation. urine strep/legionella neg. next diagnostic step. pic for ref #idsky #idmeded #meded

#idboardreview 24 F w/lower abd pain worse over 4d, purulent vaginal discharge & 100F. No N/V/urinary sx. preg neg, New partner for 1 mo, no barrier contraception. +cervical motion tenderness, tx w/IM ceftriaxone, po doxy/metronidazole. What advice for her partner? #idsky #idmeded #meded

#idboardreview 70 M with cough x 3 wks, occasionally so bad that he vomits. Recently visited newborn grandkid who is now sick. pic for ref only. Diagnosis? #medEd #IDMedEd #idsky

#idboardreview A immunocompetent pt visited an unvaccinated community 2d ago, now several members of the community have varicella. Pt asymptomatic, NO rash. He cant recall having chicken pox and didnt receive varicella vaccine. Next step for pt? Pic for ref only #idsky #idmeded #meded

#idboardreview 16 yo person with history of nail biting presents w/ swollen/tender left fourth finger s/p I&D +purulence. Anaerobic gram neg bacillus. Pitting on chocolate agar. #medEd #idmedEd #idsky

#idboardreview A German 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 #IDsky

#idboardreview Pt living in southern highlands Tanzania, hx of walking bare foot & exposure to volcanic soil, w/progressive b/l foot/ankle ‘water bag’ like swelling stops at knee, no groin edema, Mossy-like papillomata & block-shaped toes. #IDsky #idmeded #meded

#idboardreview 27 F from rural Mexico exposure to cattle, pigs, sheep, dogs 🐄🐖🐏🐕 presents with 1 yr of progressive headaches, excessive drooling/ sweating, now with bladder/bowel incontinence, dec consciousness. previous CT negative. diagnosis? #medEd #idmedEd #idsky