Thanks to Dr. Godbole for an excellent case of disseminated MAC in a patient with HIV! Learning Points: -MAC are ubiquitous organisms which commonly cause disseminated disease in HIV patients with a CD4 count of <50. -Common presentations include diarrhea, abdominal pain, fevers,…
MRSA hypopyon. From PMID: 20234775. Thanks Betty Lai for a fascinating case of Group B strep infective endocarditis presenting as hypopyon. Great job to all the participants in getting the diagnosis purely from the history! Learning points: - When evaluating multi-organ…
Thanks to Dr. Castaneda for an excellent morning report on Dengue and Chikungunya Learning Points: -- Dengue and Chikungunya present similarly with typical features including fever, arthralgia, mylagia and headache -- Be sure to include both Dengue and Chikungunya on…
Coronal section of rat brain showing NMDA-R intense reactivity predominantly involving the hippocampus. (From Dalmau, et al. 2008. Lancet) Thanks to Thomas Vu and Dr. Mathisen for a great morning report! Learning points: - Peripheral blood has 1000…
Thanks to Amy Wu for an interesting case of neurosyphilis! Learning Points -Tabes Dorsalis is a uncommon condition of slow demyelination of the posterior columns of the spinal cord caused by Treponema pallidum and is most commonly characterized by sensory…
Thanks to Dr. John Hollowed and Dr. Rohit Godbole for an excellent morning report on APML Learning Points: -- APML is linked with the t(15;17) translocation involving the RARa gene on chromosome 17 and the Promyelocytic Leukemia (PML) gene on…
Thanks to Dr. Sue Zhang for an excellent case and presentation of invasive actinomyces! Learning Points: -Findings of multiple liver cysts carry a broad differential but include infection (pyogenic, fungal or parasite) and malignancy. -Abdominal Actinomyces israelii is has been…
Thanks to Dr. Thomas Vu for presenting an interesting case of Guillain-Barre. Learning Points: -- Classic presentation includes progressive, symmetric muscle weakness with diminished or absent DTR’s -- Can be accompanied by numbness, paresthesias, weakness and pain in the limbs…
Thanks to Dr. Amy Wu for a great morning report on pulmonary cocci! Learning Points: -Primary infections due to Coccidioides sp. most frequently manifest as community-acquired pneumonia (CAP) -Keep cocci in your differential for a patient presenting with CAP, especially…
Thanks to Dr. Hsieh for an excellent morning report on Lung Abscesses Learning Points: -- Risk factors for developing lung abscesses: peridontal disease, dysphagia, diminished gag or cough reflex, ETOH abuse and seizure disorder -- Common anaerobes: Peptostreptococcus species, Bacteroides…