St Louis, MO
Joined July 2018
- Tweets2.6K
- Following1.6K
- Followers6.1K
- Likes3.2K
WuidQ: Washington University ID Questions retweeted
25/M p/w 6 mos personality changes. 3 mos ago, developed periodic myoclonic jerks & increased forgetfullness. 1 mo ago, developed cortical blindness. Has not received routine childhood/adult vaccination. Anti-measles Ab 1:256 (serum) & 1:8 (CSF). W/c is true of this condition? – at St Louis, MO
31%Has unique brain MRI read
21%CSF w/ lymphocytic pleo.
11%CSF w/ rubeola PCR+
36%EEG finding is diagnostic
234 votes • Final results WuidQ: Washington University ID Questions retweeted
#idgrandrounds
1/2
32 F w multiple sclerosis on rituximab, +10d fever, R knee pain in December. Had dysuria tx w/ TMP/SMX 1 wk prior. No trauma. Exam: swollen/tender R knee. No rash. Purulent synovial fluid: 60,000 cells 70%N. Multiple synovial/blood bacteria/fungal/AFB Cx (-)
WuidQ: Washington University ID Questions retweeted
We are ecstatic to welcome our outstanding fellows @AlexHartlage and Drs Hendrix Hixon Meyer and Nordman to @WashUID We can’t wait to work with you! #IDMatch2023 @IgeGeorgeMD @CalineMattar @FungalDoc
WuidQ: Washington University ID Questions retweeted
So proud to know Dr Nigar Kirmani, long time @WashUID fellowship program director and @WUSTLmed ID course master, honored at #IDWeek2023 with the @IDSAInfo Clinical Teacher Award 🎉🎉@WUSTLmed
WuidQ: Washington University ID Questions retweeted
Come and explore @WuidQ framework for fever in returning traveler, it’s amazing
A- adventure (where they went)
B- body (clinical syndrome)
C- chronology
D- defense (vaccine/ppx)
E- exposure (safari?!)
E- eosinophilia
Illness script for #Katayama fever is 🔥🔥🔥
1/10
Thank you for all your responses! @TxID_Edu @BradCutrellMD @DocWoc71 @GermHunterMD @marschall_jonas @jdcooperid others
Stool sample demonstrated Schistosoma mansoni eggs.
CASE RESOLUTION: Acute schistosomiasis (Katayama fever)
mcdinternational.org/trainin…
WuidQ: Washington University ID Questions retweeted
We have unfilled #IDfellowship spots @WUSTLmed If you are interested in ID consider joining us in beautiful St Louis! World class research, friendly collegial environment and the best profession! #IDTwitter #match2022 #MedTwitter
WuidQ: Washington University ID Questions retweeted
So excited to do the graphics for this monumental study.
In medical school we're still taught to diagnose fungal infections based on maps from 60+ years ago! A much needed update👇🧵
🙏Thanks to @PBMazi
@arauseomd @JulioCZuniga1 @FungalDoc @CIDJournal
🔗 doi.org/10.1093/cid/ciac882 – at St Louis, MO
ALT A visual abstract for the linked paper showing updated maps for dimorphic mycoses. Clicking the link will allow you to read the text based abstract!
🆕️⚡️⚡️ @CIDJournal 🌟s @FungalDoc et Al
Geographic Distribution of Dimorphic Mycoses in the United States for the Modern Era #IDTwitter #MedEd academic.oup.com/cid/advance…
WuidQ: Washington University ID Questions retweeted
Bacterial syndrome pearls by Dr. Escota!
#IDWeek2022 #Boardreview #IDMedEd #Clinicalpearls @MDdreamchaser @WuidQ
WuidQ: Washington University ID Questions retweeted
Darrell McBride, DO of @GeisingerHealth. Dr. McBride will serve as a Director.
WuidQ: Washington University ID Questions retweeted
The results are in! 🗳️ @HIVMA is excited to announce the new Officers & Directors, overwhelmingly approved by voting members, to serve on HIVMA's Board of Directors, beginning their roles following @IDWeek2022.
Learn more here: bit.ly/3zRDjVA
@IDSAInfo
Q&A
44M w HIV, not on ART, VL 33k, CD4 119
Febrile, confused w R wrist & B knee arthritis
SF RBC 151k, 62% PMN, no crystals
CSF WBC 191, gluc 37, prot 108
BCx, CSF Cx, SF Cx all +ve
@ID_fellows @gayathriIDdoc @LParraRod @patrickching @MansoorArmaghan @febrilepodcast
2%Aspergillus niger
61%Streptococcus pneumoniae
5%Candida parapsilosis
32%Listeria monocytogenes
128 votes • Final results WuidQ: Washington University ID Questions retweeted
#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
1/2
MCQ
38M w LVAD for NICM
On suppressive doxycycline for prior MRSA DLI
P/w intensely pruritic rash on back, chest, arms (representative pic next tweet)
⛔️fever/other constitutional symptoms
VS WNL
CBC, CMP WNL
KOH prep of skin scraping showed yeast
Most likely etiologic Dx?
30%Eosinophilic folliculitis
14%Candida
5%Pseudomonas aeruginosa
51%Malassezia (Pityrosporum)
204 votes • Final results2/2
MCQ
Image credit to follow
@ID_fellows @MansoorArmaghan @gayathriIDdoc @patrickching @DLHong @swinndong @k_vaishnani @IUIDfellowship @BCMIDFellowship
Oops. Didn't link answer and tweetorial correctly. Link here!
teapaw.org/WuidQ/status/149164227…
1/12
Answer: Malassezia (Pityrosporum) folliculitis
Tweetorial to follow
Image in MCQ from healthline.com/health/pityro…
1/12
Answer: Malassezia (Pityrosporum) folliculitis
Tweetorial to follow
Image in MCQ from healthline.com/health/pityro…
11/12
Tx
Topicals - selenium sulfide shampoo, topical ketoconazole
Systemic - oral fluconazole, itraconazole
Recalcitrant - isotretinoin, photodynamic tx