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PPID Journal

@PPIDJournal

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Infectious Disease journal for everyday physicians. Written by practicing doctors with articles focusing on the most important topics of daily practice.

Joined April 2021
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@PPIDJournal
PPID Journal
1 month
#IDx.22 yo man w/ PMH bicuspid aortic valve & recent dental work presents with fever, myalgias and Strep gordonii bacteremia. Echo shows this ⬇️. What is the diagnosis? *Click here to find out*.
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@PPIDJournal
PPID Journal
1 month
#IDx.50 yo man with poorly controlled DM, HTN p/w Group B strep bacteremia and the below findings. What is the diagnosis? *Click here to find out*.
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@PPIDJournal
PPID Journal
1 month
#IDx.Read this fascinating case of myopericarditis caused by Salmonella! Pt presented with chest pain, fever, diffuse ST elevation on EKG, and trop elevation with diffuse enhancement of cardiac wall with myocardial edema.
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Introduction Myocarditis, a potentially life-threatening disease characterized by inflammatory infiltration of the myocardium and/or degeneration of myocardial tissue, has many potential infectious and...
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@PPIDJournal
PPID Journal
4 months
#IDx.#IDBoardreview. Which pts undergoing abdominal surgery should receive empiric anti-fungal therapy?.A. Any abdominal surgery .B. Septic shock .C. Pts w/ recent abdominal surgery & recurrent gastrointestinal perforations/anastomotic leakages.D. Pts w/hx of prior abx exposure.
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@PPIDJournal
PPID Journal
4 months
#IDx.Severe malaria meets sickle cell anemia: A complex case where P. Falciparum & ACS challenge both dx & treatment. Successful recovery with artesunate & RBC exchange transfusion highlight importance of timing concurrent prompt management!
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@PPIDJournal
PPID Journal
4 months
#IDx.68 yo PWH on biktarvy, CD4 650, undetectable VL, recent dx of bladder cancer, bilateral nephrostomies, p/w PURPLE urine (see picture). Why is the urine purple? *click to find out*.
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@PPIDJournal
PPID Journal
4 months
#IDx.48 yo man p/w fever, chills, malaise, jaundice, throat swelling, and exudative pharyngitis. AST 299, ALT 528, Bili 8.3. Read about this interesting case of primary EBV hepatitis in an immunocompetent patient & how early intervention made the difference! *click to read*
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@PPIDJournal
PPID Journal
5 months
#IDx.73 yo man p/w chronic oral lesions, odynophagia, mildly enlarged cervical LAD, 20 lb weight loss and RUL nodule. What is the diagnosis and how did he do? *Click to find out*.
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@PPIDJournal
PPID Journal
5 months
#IDBoardReview.75 yo woman w/ PMH HTN, DM p/w 4d abdominal pain, f/c, n/v/diarrhea after eating raw crab 48 hours earlier. Blood cx grows out GNRs, what is dx?.A. Enteropathogenic E. coli.B. Haemophilus influenza.C. Vibrio cholera non-O1/non-O139 strain.D. PsAR
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@PPIDJournal
PPID Journal
5 months
#IDBoardReview.#syphilis.35 yo man p/w painless ulcer in R groin following unprotected sex 1 wk prior with new partner. Pt had h/o syphilis 5 y ago. FTA Ab+, RPR neg. What do you do?.A. neg RPR, no need to tx.B. Tx empirically, rpt RPR in 4 wks.C. Look for alternative dx .D. Both.
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@PPIDJournal
PPID Journal
5 months
#IDBoardReview.Test your ID knowledge with our ID Board Review Question Bank! .49 yo woman with PMH relapsed multiple myeloma tx with Isatuximab, pomalyst, & dex p/w 3 d of fever, AMS, dense LLL pna . What is the dx?.A. HSV pna.B. Bacterial pna w/encapsulated org.C. Reactivation.
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@PPIDJournal
PPID Journal
5 months
60 yo patient with PMH schizoaffective disorder p/w hypertrophic growths on hands and feet. WBC 6.4, 6.6% eos. What is the diagnosis and how would you treat this patient? *click for answer*
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@PPIDJournal
PPID Journal
5 months
#IDBoardReview.#SAB.Test your ID knowledge with our ID Board Review Question Bank! What levels are abnormal in specific antibody deficiency?.A. Quantitative immunoglobulins.B. IgG subsets.C. Response to protein based vaccine.D. Response to conjugate vaccines.E. Response to.
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@PPIDJournal
PPID Journal
5 months
#BoardReview.Which is NOT a criteria for PJI dx according to 2013 IDSA guidelines?.A. Sinus tract w/ prosthesis.B. ⬆️ WBC w/ ⬆️ PMNs w/in synovial fluid (3K w/80% PMNs).C. pus near prosthesis intraop.D. ≥2 +cx w/ same org (pre-/intraop).
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1. Which of the following is NOT a diagnostic criterion for the definition of PJI according to the IDSA guidelines (2013)? Sinus tract communicating with the prosthesis Elevated WBC with high...
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@PPIDJournal
PPID Journal
5 months
#IDBoardReview.#Mycobacterium.Test your ID knowledge w/ our ID Board Review❓ Bank!. Which of the following is NOT a recognized subspecies of Mycobacterium abscessus?.A. M. abscessus subspecies abscessus.B. M. abscessus subspecies bolletii.C. M. abscessus subspecies massiliense.
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@PPIDJournal
PPID Journal
5 months
#IDBoardReview.#Measles.Test your ID knowledge w/ our ID Board Review❓ Bank!.People born before what yr are considered to be immune to measles due to the likelihood of natural infection prior to widespread vaccination?. A) 1957.B) 1963.C) 1970.D) 1980.
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1. People born before what year are generally considered to be immune to measles due to the likelihood of natural infection prior to widespread vaccination? A) 1957 B) 1963 C) 1970 D) 1980
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@PPIDJournal
PPID Journal
5 months
#IDBoardReview.#Immunodeficiency.Test your ID knowledge with our ID Board Review Question Bank!.Which of the following antibody concentrations must be normal to qualify for dx of IgG subclass deficiency?.A. IgA.B. IgM.C. IgG.D. IgE.
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1. Which of the following antibody concentrations must be normal for the patient to qualify for the diagnosis of IgG Subclass Deficiency? IgA IgM IgG IgE
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@PPIDJournal
PPID Journal
5 months
#IDBoardReview.#HIV.Test your ID knowledge w/ our ID Board Review❓Bank!.45 yo man p/w unstable angina, undergoes PCI. His HIV ELISA is +, CD4 100 & VL 250K. If you had to Rx a PI, which would be best?.A. Darunavir.B. Atazanavir.C. Fosemprenavir.D. Lopinavir.
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@PPIDJournal
PPID Journal
5 months
#IDBoardReview.#HepB.Test your ID knowledge with our ID Board Review Question Bank!.Which of the following is considered the main indicator of previously resolved HBV (HBsAg-, anti-HBc+).A. ⬆️ ALT 2x ULN .B. Detectable HBV DNA .C. HBsAg .D. A and C .E. B and C.
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