6 results
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
initiation of smoking; Fever ... brown sputum, fever ... , CNS, skin • Infectious ... (Variable) - Fungal ... Diseases #pulmonary #differential
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
infection (IFI) ... cut-offs defined in clinical ... differentiate colonization ... non-neutropenic pts, SOT ... setting of GVHD) ID
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
Skin Lesions - Differential ... --> bacterial, fungal ... Pustules + Fever ... Eosinophilic folliculitis ... Skin #Lesions #Differential
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
cut-offs defined in clinical ... surfaces, Albumin, Infections ... >90% (In most clinical ... differentiate colonization ... post-2010 almost never
Oral histoplasmosis in a transplant patient
50 F Midwest hx liver transplant on prednisone MMF fever, sweats,
prednisone MMF fever ... & mimic other infectious ... Other differentials ... Indiana University Infectious ... #mouth #clinical
Majocchi’s Granuloma due to Trichophyton rubrum 
This is GMS stain and culture of a skin biopsy
No fever. ... Majocchi granuloma in transplant ... Fungal infection ... recommended Mayo Clinic ... Trichophyton #rubrum #clinical