10 results
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Travel History - ... Clues to Infectious ... Disease Diagnosis ... → Leptospirosis ... #differential #Diagnosis
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
rigors, diarrhea, nausea ... sick contacts, travel ... Vibrio, aeromonas, Capnocytophaga ... BIDMC_IDFellows #Capnocytophaga ... Rash #clinical #photo
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... non-productive cough, nausea ... disease ARDS Diagnosis ... #microbiology #diagnosis ... #treatment #management
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Capnocytophaga Canimorsus ... dogs & latter can cause ... gram-negative bacillus cause ... the key to the diagnosis ... dermatology #clinical #photo
Fever After International Travel

Infectious Disease:
• Endemic in either the destination or home region

Viral Syndromes:
Arboviral infections, a
infections, a common cause ... Infections: • Leptospirosis ... of malaria diagnosed ... culture; rapid diagnostic ... #Differential #Diagnosis
Cyclosporiasis - Diagnosis and Management Summary
Pathogen: 
 • Cyclospora cayetanensis
 • Foodborne, waterbone, and soil-transmitted.
 •
Cyclosporiasis - Diagnosis ... and Management ... International travel ... • Anorexia, Nausea ... #management #treatment
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
bouts of HTN Diagnostic ... Transverse Myelitis Diagnosis ... • Infectious causes ... Mycoplasma - Leptospirosis ... #management #neurology
Acute Mountain Sickness - High Altitude
Incidence varies - rate increases with altitude and rate of ascent
5% with rapid travel ... /o of fatigue, nausea ... acetazolamide for severe cases ... Altitude #AMS #diagnosis ... #management
Filariasis - Wuchereria bancrofti
30 yo F from India presents w/ painless immobile firm mass on the
any trauma or travel ... Diagnosis? ... Filariasis caused ... prompt accurate diagnosis ... bancrofti #clinical #photo
Pyoderma Gangrenosum (PG)
50 M Crohn’s dz had a small pustule on the ankle 4 mo ago
Diagnosis? ... Management of PG ... medications in most cases ... #PG #clinical #photo