Ocular #syphilis can occur during any stage of infection, including tertiary syphilis. It is bilateral in 50% of cases #IDMastodon #MedMastodon #IMPearls

#syphilis may present as multiple painful ulcers in up to 30% of persons w primary infection #IDMastodon #MedMastodon #IMPearls

Presence of crystals in synovial fluid does NOT exclude septic arthritis #IDMastodon #MedMastodon #IMPearls

HHV6 is almost never the etiology of #encephalitis in immunocompetent patients
#IDMastodon #MedMastodon #IMPearls #MedEd

Meningoencephalitis and brain abscess (ring-enhancing lesions) are common manifestation of #Trypanosoma cruzi reactivation in advanced #HIV patients #IDMastodon #MedMastodon #Chagas #IMPearls #MedEd

Helminths cause #eosinophilia; protozoans do not
#IDMastodon #MedMastodon #IMPearls #MedEd

#rabies can incubate for a year or more
If risk exposure has occurred, it is never too late to start post-exposure prophylaxis
According to both WHO and CDC guidelines, a decision to vaccinate is a decision to use RIG as the vaccine will not kick in for several weeks
#IDMastodon #MedMastodon #IMPearls #MedEd

Elderly and catheterized patients have a high incidence of asymptomatic bacteriuria. Abnormal UA in asymptomatic patient does NOT necessarily require treatment.
#AsymptomaticBacteriuria #medicine #MedMastodon #IDMastodon #IMPearls #AntimicrobialStewardship #AntimicrobialResistance

Symptoms that do NOT warrant investigation for #UTI include change in the color, odor, or consistency of the urine
#MedMastodon #IDMastodon #IMPearls #MedEd #medicine #AntimicrobialStewardship

In pregnant women with fever and unexplained severe #hepatitis, disseminated #HSV infection should be considered. Start empiric IV acyclovir pending confirmation. #IDMastodon #MedMastodon #IMPearls #medicine #Gastrodon

Pts w presumed #COPD exacerbation that are unresponsive to conventional tx (steroids, abx, bronchodilators) should be evaluated for #pulmonary #embolism #PE #medicine #MedMastodon #IMPearls #Pulm #PulmCC

Topiramate is a carbonic anhydrase inhibitor that causes urinary citrate excretion & formation of alkaline urine that favor the creation of calcium phosphate stones #MedMastodon #MedEd #medicine #nephrology #NephMastodon #IMPearls

Hepatocellular #carcinoma may develop in chronic #hepatitis B infections in the absence of #cirrhosis #MedMastodon #IDMastodon #Gastrodon #IMPearls