#Infectology

[heardatmedschool]

Intern: Why do we request Chagas serology when we get a postive HIV?

Infectologist: Honestly, I don’t know.

[thethcministry]

[thedespicableblog]

Brutal Death Metal Fri-yay! INFECTOLOGY - Innards Of Misanthropic Embodiment 🤘🔥☠️🇪🇨 #Infectology #InnardsOfMisanthropicEmbodiment #Ecuador #EcuadorianBrutalDeathMetal #BrutalDeathMetal #GoreHouseProductions #MetalUpYourAss #KeepMetalAlive #KeepItLoudAndHeavy #MetalForLife #MetalTillIDie #InMetalWeBlast #ExtremeMusicForExtremePeople #SpreadLoveThroughMusic (at House of Metal) https://www.instagram.com/p/CqLKimWJYtX/?igshid=NGJjMDIxMWI=

[med4vl]

Cephalosporins: Overview of Antimicrobial Activity

[owainbradys]

Hræsvelgr: Surgery

Niđhöggr: Anesthesia

Eikþyrnir: Physical Therapy

Heiđrun: Prescription Drugs

Ratatoskr: Nursing

[sheepneverlearn]

i have a kidney infection and instead of offering his support, my dad decided to go off at me for "not handling this urgently enough" like DUDE I WENT TO THE HOSPITAL. THEY GAVE ME MEDS. IM SCHEDULING AN APPT WITH A SPECIALIST TOMORROW. WHAT ELSE CAN I FUCKING DO???

[sasukesun]

hey, i have been studying for my clinical er and infectology exams, that’s why i haven’t been online much

[allthebrazilianpolitics]

Brazil Breaks Record of Deaths Caused by Dengue in 2022

The country has 218 cities with a high risk of infestation by the Aedes aegypti mosquito

In 2022, Brazil recorded the highest number of deaths from dengue in its history. There were 1,016 deaths from the disease, according to the latest epidemiological bulletin from the Secretariat for Health and Environment Surveillance.

Among the states, São Paulo registered the highest number of victims: 282. Goias (162), Paraná (109), Santa Catarina (88) and Rio Grande do Sul (66) appear next.

Doctor Antonio Carlos Bandeira, a member of the SBI (Brazilian Society of Infectology), says that 2022 brought together different factors that contributed to the increase in cases.

Continue reading.

[beyondtheperiod]

June, 14th, 2024

Things are getting a bit overwhelming lately, by the next two weeks we'll have 5 exams, two of which being on oral format, super hard, at least I've been starting to feel like myself lately, hopefully I'll be able to go through it and feel sane after (and through it all). I've been happy about my classmate as well, they are my biggest comfort lately, the best group. So by now, since we are rotating on various specialities, we are currently with gynecology (infectology, obstetrics and pediatric are done ✔️) and it's just not my thing (respectifully), but our professors have been amazing, I even went to the O.R and saw some hysteroscopies. Also depressing getting to discuss women health issues in a profesional and serious way while my home country is trying to go back to witch hunting (brazil, where some people are trying to equate the sentencing of performing an ab*rt/on to actual hom*c/de, specifically to cases concerning grapes, but oh well, who cares?). But well, trying to take some joy on life while it feel so far off to others.

[ley-med]

Having infectology course during covid times is interesting to say the least. Of course we aren't allowed on wards (I'm pretty sure there isn't any extra PPE they could waste on us, and the whole Infectology Clinic is basically a covid clinic at the moment - though there aren't many active cases at all - so understandable) and we haven't even talked about covid yet, but we are talking over cases, and I am once again convinced... Humans might be smart and mighty, but we are nothing in the face of these little bastards. Bacteria and viruses and co. are the real deal. Been here before us, and for sure going to be here even after the apocalypse...

[heardatmedschool]

“Remember, the adenovirus is a sketchy one that likes to pretend it’s a bacteria.”

[quasariz]

Micobacterias: son bacilos delgados. No tiñen con gram. Acido alcohol resistentes. (alto contenido de lipidos complejos: acidos micolicos en la cell wall, que se unen a la tincion Ziehl Nielsen/carbolfucsina y luego se resisten fuertemente a la descoloracion). -Cultivos: crecen lentamente 2-6 weeks en medio Lowenstein-jensen -Aerobio obligado. -Transmision: directa por aerosoles o exposicion a secreciones contaminadas por personas infectadas. Leche contaminada (rara): M bovis: tuberculosis orofaringea e intestinal. Con la pasteurizacion disminuyeron casos. - Infectividad: alta. - De los infectados solo 5% desarrollaran la enfermedad. -Patogenes mediada por la INMUNIDAD CELULAR medidadas por CD4+-subtipo TH1. -rx de risk para desarrollo de tbc activa: VIH. -Patogenesis: Defensas de la bacteria: Glucolipidos: "Cord factor": protege a la bacteria de ser destruida por aumento de TNF alfa y citokines, que provocan formacion de granulomas. Sulfatidas: permiten a la bacterias sobrevivir dentro de los macrofagos, previniendo que se los lisosomas se fusionen a la vacuola fagocitica. -De esta forma: Persona tiene contacto con aerosol contaminado y en las tres primeras semanas: M.tuberculosis llega al pulmon, se encuentra con el macrofago alveolar: logra entrar al macrofago, inactiva al fagolisosoma, asi se multiplica dentro del macrofago y puede producir diseminacion en multiples localicaciones (y puede ser completamente asintomatico). Despues de esas 3 weeks: es que se desarrolla LA INMUNIDAD MEDIDADA POR ELULAS: donde los antigenos de la bacteria alcanzan a los ganglios linfaticos, se presentan por celulas dentriticas a los linfocitos T CD4, y a traves de la IL-L2 que se secreta por los macrofagos, se generan linfocitos T CD4+ del subgrupo TH1, que generan IFN-Y, quienes a su vez activan mas macrofagos, que segregan TNF, que lleva al reclutamiento de monocitos, se diferencian a histiocitos epiteloides que forman granuloma, que puede ir o no con necrosis central.Ahora todo este proceso genera HIPERSENSIBILIDAD y se desarrolla asi RESISTENCIA a la bacteria. Si alguno de estos mecansmos se altera, no hay buena respuesta y se descontrola la infeccion, da enfermedad.

-Asi, cuando una perosna se infecta tiene 3 probables fines: 1- Induce hipersensibilidad y genera resistencia a la bacteria. (se cura) 2. Foco de cicatrizacion en pulmon, donde la bacteria queda por años y si se dan las condiciones adecuadas puede reactivarse. (se controlar) 3. raro: tuberculosis primaria progresiva.(progresa)

-CLINICA: TBC Primaria: Infeccion inial por TBC, primera vez que se expone a la bacteria o en ancianos o nmunodeprimidos, que pierden sensibilidad al bacilo, y peuden presentar tbc primaria mas de una vez. -Afecta: Lobulos inferiores o el medial. -patologia: granulomas caseificantes (aunque en inmunodperimdos, puede no encontrarse porque esta limtiada la rx cell) -Complejo de Ghon: linfadenopatia hiliar+ lesion granulomatosa en pulmon -Complejo de Ranke: cuando el complejo deGhon se calcifica y se ve en RX. -Sintomas: Fiebre no tan alta, prolongada, sudoracion nocturna. Mas comune n areas endemicas y en niños. -pronostico: puede curar por fibrosos o calcicficaciones y vovlerse una tbc latente.

- TBC ORGANICA AISLADA: por diseminacionhematogena y puede ser la manifestacion incial de la TBC comun:linfadenitis (forma mas frecuente de TBC extrapulmoanr: gte en region cervical o escrofula.) hueso, higado, Si afecta a las vertebras: Enfermedad de Pott. CNS (10-15%): MANIFESTACIONES: meningitis, tuberculoma, lesion cavitaria en el cerebro.

-TB MILIAR: Por extensuin directa o por diseminacion pro via respiratoria, es una forma diseminada de la enfermedad.Progresa rapido a muerte.

-TBC SECUNDARIA: 5-10%. Sintomas: inicio insidioso, sudoracion nocturna, tos, hemoptisis, caquexia, dolor pleuritico. Localizacion: Lobulso superiores del pulmon. Cavitaciones o consolidaciones.

-TX: "RIPE" -Frec multirresistencia. -prevencion: quimioprofilaxis: 9 meses: Rifampicina, Isoniacida. -Vacuna: BCG (bacilos de Calmette Guerin). No protege contra TBC pulmonar.

[lucioguimaraes]

Caso de hoje: Tuberculose pulmonar Paciente com emagrecimento. Perdeu 20kg em 06 meses. Também apresenta tosse, sudorese profusa noturna (suores noturnos) e febre diária nos últimos 03 meses. Na tomografia do tórax observamos uma caverna no pulmão esquerdo, lesão características da tuberculose pulmonar. As políticas de saúde pública do Brasil estão sendo ineficazes há muitos anos e há muitos governos. Infelizmente vemos uma epidemia de tuberculose. #tuberculose #tuberculosis #tuberculeux #結核 #medicinainterna #internalmedicine #infectologia #infectology #doençastropicais #doençasnegligenciadas #pneumologia #pneumology #tisiologia #phthisiology #drlucio #drlucioguimaraes @drlucioguimaraes @centromedicodrjosias (em Dr Lucio Guimarães) https://www.instagram.com/p/CW6-T4lp4TZ/?utm_medium=tumblr

[sams-secret-world]

After long time in train again with some book. I haven't sent any post here for long time but It is time to change it now. Today is 13th november 2019 It rains and I'm learning Infectology for tomorrow. It will be so difficult but I hope that it'll be fine. To be honest I really want to visit UK again - All I have to do is waiting - cheers mates have good time 🎓📚🇬🇧

[neuromedical]

Distance learning is not ideal and I miss the structure in-person practicals used to give me.

But seeing that little MS Teams notification by a professor from a subject you’ve already passed and knowing that it’s not intended for you but for a different study group which now has to go through the same hell you’ve already been through... Priceless :D

[vacationstudy]

02 • 03 • 17 //  the semester barely started..and here i am.....dying. sorry for not being active at all lately! i was busy the whole vacation period, and now another year started (and i already feel like i’m being left behind /help)