16 results
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
culture of skin ... staining confirmed a diagnosis ... infection of Blastomyces ... #clinical #photo ... #derm #NEJM #cutaneous
Moccasin-variety Tinea Pedis 
70 M chronic scaly feet. Over the years: rash has itched only occasionally;
Diagnosis? ... Moccasin tinea pedis skin ... Topical anti fungal ... Variety #type #clinical ... #photo #foot #dermatology
Soil Related Infections - Differential Diagnosis Framework

Mechanism Of Infection:
 • Wound
 • GI: Ingestion, MUD, Contaminated
- Differential ... Diagnosis Framework ... , Contaminated food ... Inhalation • Skin ... #differential #
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
Sporotrichiosis Infection ... wax and wane; diagnosis ... trauma leads to skin ... biopsy preferred Differential ... #clinical #photo
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
loss; CV, CNS, skin ... • Infectious ( ... Variable) - Fungal ... parasites; Travel hx, food ... #diagnosis #comparison
Waterborne Infections - Differential Diagnosis Framework

Infections that can be acquired from fresh water, brackish water, sea
- Differential ... Diagnosis Framework ... Blooms (HABs) Skin ... is biphasic • Clinical ... #Differential #
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
cut-offs defined in clinical ... BAL GM does not differentiate ... Contamination of food ... Galactomannan #diagnosis ... #comparison
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Diagnosis? ... heaped up borders); differential ... Indiana University Infectious ... #dermatology #clinical ... #photo
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
Somalia, had similar skin ... Tinea capitis, a fungal ... infection of the ... ringworm, was diagnosed ... #clinical #photo
Dermatologic Manifestations of Granulomatosis with Polyangiitis (GPA)

Skin involvement in granulomatosis with polyangiitis (GPA) is common and
Rarely dominate the clinical ... reticularis Differential ... Diagnosis: Vasculitis ... cell arteritis Infections ... Mycobacterial diseases • Fungal