Infectious Diseases Fellowship at Indiana University
@iuidfellowship.bsky.social
#idboardreview #idfellows #idfellowship #IDsky #HIVsky #idmeded
#idboardreview heart-lung transplant 2yrs ago on tacrolimus, mycophenolate, TMP/SMX, lung nodules on voriconazole, +diffuse body aches, AlkP 2x ULN, Bone scan numerous scattered areas of uptake. Xray periosteal thickening, Calcified excrescences. dx? #medEd #idmedEd #idsky
December 11, 2025 at 11:50 PM
#idboardreview heart-lung transplant 2yrs ago on tacrolimus, mycophenolate, TMP/SMX, lung nodules on voriconazole, +diffuse body aches, AlkP 2x ULN, Bone scan numerous scattered areas of uptake. Xray periosteal thickening, Calcified excrescences. dx? #medEd #idmedEd #idsky
#idboardreview 5 wks post kidney transplant (deceased donor) pt had tremors, lower extremity weakness, confusion, urinary incontinence. 6 wks post transplant: fever, hydrophobia, dysphagia, autonomic instability & died 7wks postT #idsky #idmeded #meded
December 11, 2025 at 12:47 AM
#idboardreview 5 wks post kidney transplant (deceased donor) pt had tremors, lower extremity weakness, confusion, urinary incontinence. 6 wks post transplant: fever, hydrophobia, dysphagia, autonomic instability & died 7wks postT #idsky #idmeded #meded
December 9, 2025 at 11:40 PM
#idboardreview 30 F R knee pain x several months now progressively worse. Wbc 8k, ESR 50, crp 1, afebrile. +tenderness R tibia. MRI penumbra sign. Dx? #medEd #idmedEd #idtwitter #idsky
December 9, 2025 at 11:37 PM
#idboardreview 30 F R knee pain x several months now progressively worse. Wbc 8k, ESR 50, crp 1, afebrile. +tenderness R tibia. MRI penumbra sign. Dx? #medEd #idmedEd #idtwitter #idsky
#idboardreview 77 M hunter from Michigan w/ RA on 5mg prednisone, regularly hunts and field-dresses deer in the area x20 years presents w/ recent cough, fever, wt loss. No travel outside Michigan, diagnosis? #medEd #idmedEd #idsky
December 9, 2025 at 12:42 AM
#idboardreview 77 M hunter from Michigan w/ RA on 5mg prednisone, regularly hunts and field-dresses deer in the area x20 years presents w/ recent cough, fever, wt loss. No travel outside Michigan, diagnosis? #medEd #idmedEd #idsky
December 6, 2025 at 1:04 AM
#idboardreview 30 F AML s/p Tcell depleted alloSCT EBV D+ CMV D+ on cyclosporine, tmp-smx, valacyc Day80 F, sore throat, cervical lympadenopathy.CT LUL nodule: biopsy B cell plasmacytoid diff, EBV stain+. Serum EBV pcr >3mil. #idsky #meded #idmeded
December 6, 2025 at 12:53 AM
#idboardreview 30 F AML s/p Tcell depleted alloSCT EBV D+ CMV D+ on cyclosporine, tmp-smx, valacyc Day80 F, sore throat, cervical lympadenopathy.CT LUL nodule: biopsy B cell plasmacytoid diff, EBV stain+. Serum EBV pcr >3mil. #idsky #meded #idmeded
#idboardreview 50 M severe arthritis s/p R shoulder arthroplasty 15 mo ago now w/ ⬆pain & stiffness in R shoulder x3 months. Denies fever, redness or swelling. Inflammatory markers normal. Cloudy fluid wbc 2500, neg gram stain. OR culture gram positive bacteria. Dx? #medEd #idmedEd #idsky
December 4, 2025 at 11:25 PM
#idboardreview 50 M severe arthritis s/p R shoulder arthroplasty 15 mo ago now w/ ⬆pain & stiffness in R shoulder x3 months. Denies fever, redness or swelling. Inflammatory markers normal. Cloudy fluid wbc 2500, neg gram stain. OR culture gram positive bacteria. Dx? #medEd #idmedEd #idsky
🎉Congratulations to these brand new board certified infectious diseases physicians (our recent graduating class: Kirsten, Kevin, Kelsey & Ibrahim) ❤️100% board passing rate❤️ #idsky #idfellows #idfellowship
December 4, 2025 at 11:21 PM
🎉Congratulations to these brand new board certified infectious diseases physicians (our recent graduating class: Kirsten, Kevin, Kelsey & Ibrahim) ❤️100% board passing rate❤️ #idsky #idfellows #idfellowship
December 3, 2025 at 11:19 PM
#idboardreview Person living w/HIV CD4 60, chronic sinusitis presents w/1wk of nasal discharge, fever, facial pain, uses squirt bottle tap water to rinse sinuses. +Perforation of septum, taken for sinus surgery: necrotic debri & cysts H&E stain #idmeded #meded #idsky
December 2, 2025 at 11:15 PM
#idboardreview Person living w/HIV CD4 60, chronic sinusitis presents w/1wk of nasal discharge, fever, facial pain, uses squirt bottle tap water to rinse sinuses. +Perforation of septum, taken for sinus surgery: necrotic debri & cysts H&E stain #idmeded #meded #idsky
#idboardreview 30 M living with HIV, unstable housing, not on ART CD4 9, VL 600k presents w/ fever, progressive dyspnea, non productive cough, hypoxia. Histology frothy eosinophilic honeycomb material filling alveolar space. Dx? #medEd #idmedEd #IDsky
December 2, 2025 at 2:13 AM
#idboardreview 30 M living with HIV, unstable housing, not on ART CD4 9, VL 600k presents w/ fever, progressive dyspnea, non productive cough, hypoxia. Histology frothy eosinophilic honeycomb material filling alveolar space. Dx? #medEd #idmedEd #IDsky
#idboardreview Pt living in Texas x15yrs originally from Mexico had thyroid ca s/p neck dissection: histopath 275-µm encapsulated cyst w/larva 27 µm w/bacillary bands. He ate raw pork 10yr ago in Texas. Wbc 6k, absolute eosinophil count 360 & CK 150 #IDsky #idmeded #meded
November 26, 2025 at 1:20 AM
#idboardreview Pt living in Texas x15yrs originally from Mexico had thyroid ca s/p neck dissection: histopath 275-µm encapsulated cyst w/larva 27 µm w/bacillary bands. He ate raw pork 10yr ago in Texas. Wbc 6k, absolute eosinophil count 360 & CK 150 #IDsky #idmeded #meded
#idboardreview A sheep farmer from rural Pakistan w/ complex liver cyst going under workup. He has an episode of dyspnea, tachy, hypotensive, swollen lips/tongue, wheezing, diffuse hives. Afebrile, normal LFTs. #idsky #idmeded #meded
November 25, 2025 at 1:26 AM
#idboardreview A sheep farmer from rural Pakistan w/ complex liver cyst going under workup. He has an episode of dyspnea, tachy, hypotensive, swollen lips/tongue, wheezing, diffuse hives. Afebrile, normal LFTs. #idsky #idmeded #meded
#idboardreview Pt w/ R knee & b/l ankle joint pain x1wk: dx aseptic arthritis. 2 wks later, extensive erythema nodosum on legs & non-tender supraclavicular lymph node: biopsy caseating granuloma. Afb+ #IDsky #idmeded #meded
November 21, 2025 at 12:13 AM
#idboardreview Pt w/ R knee & b/l ankle joint pain x1wk: dx aseptic arthritis. 2 wks later, extensive erythema nodosum on legs & non-tender supraclavicular lymph node: biopsy caseating granuloma. Afb+ #IDsky #idmeded #meded
#idboardreview A Pt w/travel to Mexico a few months prior (drank tap water, ate raw vegetables) noticed a small worm-like object on inner surface of her lower lip. She removed the object with a needle. Dx? #medEd #idmeded #IDsky #parasitology
November 19, 2025 at 11:17 PM
#idboardreview A Pt w/travel to Mexico a few months prior (drank tap water, ate raw vegetables) noticed a small worm-like object on inner surface of her lower lip. She removed the object with a needle. Dx? #medEd #idmeded #IDsky #parasitology
November 19, 2025 at 12:59 AM
#idboardreview 45 farmer from Uganda 🇺🇬 presents acutely w/fever, fatigue, headache, black tarry stools, nose bleed, blurry vision. Recent contact w/ sick 🐄 during birth. ⬆️Cr, LFTs, CK, LDH, ⬇️Hb, wbc. Retinitis w/ hemorrhage. Dx? #medEd #idmedEd #idsky #virologySky
November 19, 2025 at 12:56 AM
#idboardreview 45 farmer from Uganda 🇺🇬 presents acutely w/fever, fatigue, headache, black tarry stools, nose bleed, blurry vision. Recent contact w/ sick 🐄 during birth. ⬆️Cr, LFTs, CK, LDH, ⬇️Hb, wbc. Retinitis w/ hemorrhage. Dx? #medEd #idmedEd #idsky #virologySky
Ref IDBR for the slide
November 18, 2025 at 12:46 AM
Ref IDBR for the slide
November 18, 2025 at 12:43 AM
#idboardreview forest worker from New Mexico fever 104F, fatigue, fingertips cyanosis, painful inguinal adenopathy. Peripheral smear shown. Develops dyspnea, CXR pneumonia. What isolation precautions? #medEd #IDMedEd #idsky #IPky
November 18, 2025 at 12:42 AM
#idboardreview forest worker from New Mexico fever 104F, fatigue, fingertips cyanosis, painful inguinal adenopathy. Peripheral smear shown. Develops dyspnea, CXR pneumonia. What isolation precautions? #medEd #IDMedEd #idsky #IPky
#idboardreview 50 M s/p liver transplant cmv D+/R- 28d ago now w/ dyspnea, fever, sore throat, myalgias, cough, yellow sputum x2d➡️hypoxia, ALT3k AST1k TBili2.3. Liver Biopsy: intranuclear eosinophilic inclusions. Dx? #medEd #idmedEd #IDsky #idfellows #idfellowship
November 14, 2025 at 12:39 AM
#idboardreview 50 M s/p liver transplant cmv D+/R- 28d ago now w/ dyspnea, fever, sore throat, myalgias, cough, yellow sputum x2d➡️hypoxia, ALT3k AST1k TBili2.3. Liver Biopsy: intranuclear eosinophilic inclusions. Dx? #medEd #idmedEd #IDsky #idfellows #idfellowship
#IDboardreview 25 yo M w/ recent tattoo (2 wks ago) now presents with this non-pruritic non-tender rash? Diagnosis? #medEd #IDMedEd #idsky
November 12, 2025 at 11:27 PM
#IDboardreview 25 yo M w/ recent tattoo (2 wks ago) now presents with this non-pruritic non-tender rash? Diagnosis? #medEd #IDMedEd #idsky
#idboardreview A renal transplant Pt initial immunosuppressants prednisone, MMF, tacrolimus x several yrs then ⬆️Cr changed to sirolimus, reduced tacrolimus. 1 yr later, Pt presents w/dyspnea, interstitial infiltrates, BAL micro neg #IDsky #idmeded #MedEd
November 11, 2025 at 10:45 PM
#idboardreview A renal transplant Pt initial immunosuppressants prednisone, MMF, tacrolimus x several yrs then ⬆️Cr changed to sirolimus, reduced tacrolimus. 1 yr later, Pt presents w/dyspnea, interstitial infiltrates, BAL micro neg #IDsky #idmeded #MedEd