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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 02/07/2026

#idboardreview 60 M has pet cats & dogs, Diabetic neuropathy open ulcer on foot for several months, recent drainage, MRI +OM, micro Non motile facultative anaerobic gram negative cocobacilli, Dx? #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 01/07/2026

#idboardreview 20 M from Ethiopia raised on a sheep farm, ingests fresh & raw vegetables, presents w/ RUQ pain. Normal AST, ALT & bili. CT: subcapsular enhancement of the liver & dilated common bile duct. ERCP: brown leaf-shaped worm. Dx? Tx? #medEd #idmedEd #IDsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 01/07/2026

#idboardreview recently slaughtered sheep 🐑 for Eid & now presents with this lesion. Diagnosis? #MedEd #IDMedEd #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 25/06/2026

#idboardreview 40 M diffuse nodular skin lesions x 3+yrs, hemoptysis 1 yr ago: +lung cavity & now w/ gait abnormality, blurred vision. +brain lesions. Diagnosis? #medEd #idmedEd #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 25/06/2026

#idboardreview 35 M living with HIV not on ART, CD4 10 dull abd pain x1wk, Hb 5, hem occult+, EGD nodules duodenum/jejunum. Dx? #medEd #idMedEd #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 23/06/2026

#idboardreview 28 F recent rodent control in her NYC apartment building presents w/4-day high fever, chills, generalized rash. +non-tender eschar on back that appeared 1wk prior to systemic symptoms. +tender posterior cervical lymphadenopathy. normal wbc, mild inc LFTs, normal plt. Vector? #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 16/06/2026

#idboadreview 55 M AML w/ R chest port s/p induction, neutropenia x12 days, now w/ 102F & is on cefepime. New tender, erythematous subcutaneous nodules on his trunk & extremities. Blood cultures Gram positive bacilli identified as corynebacterium, which species is likely? #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 11/06/2026

#idboardreview 80 M hx of cochlear implant, recent vacation in Wisconsin, multiple hikes in forested area 3 days ago, now with symmetic muscle weakness, initial gait instability and now cant move legs, no improvement w/doxy. Engorged tick found on his chest. Next step? #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 10/06/2026

#idboardreview 40 F Mysthania Gravis, recent UTI s/p tmp-smx x 1wk, finished a day before & had dysuria, fever recurrence so s/p gentamicinx1 in ED, sx improved but now w/worsening double vision, difficulty chewing, +arm weakness, symmetric ptosis, DTR ok. Cause? #idsky #idmeded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 05/06/2026

#idboardreview 50 M from Australia works at wastewater treatment facility, potted plants at home, not best hand hygiene, presents w/ fever, cough, dyspnea, N, V, abd pain, wbc10k, Na130, Tbili7, Alk270, AST75,ALT110 , LLL consolidation. gram negative growth on BCYE #meded #idmedEd #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 04/06/2026

#idboardreivew 70 M from N Carolina with alcohol use disorder presents in summer with fever, hypotension requiring pressors, rash on leg. Recent trip to Currituck sound, did swimming, fishing and consumed raw oysters. BC GNR #idSky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 02/06/2026

#IDBoardReview 25 M living with HIV (CD4: 20, VL 100k) with painful dysphagia, EGD w/ volcano ulcers. most likely Diagnosis? #medEd #idsky #idmeded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 01/06/2026

#idboardreview 40 M from California, no travel, PLWH #hiv CD4 5 w/respiratory distress, Cxr b/l diffuse nodules, Blood cultures budding yeast. #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 29/05/2026

#idboardreview 40 M aplastic anemia admitted w/ fever, abd pain, Ecoli bacteremia, injection drug use w/ tap water: developed b/l LE necrotizing fascitis. Blood cultures and surgical cultures gram negative rod. Dx? #meded #idmeded #IDsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 20/05/2026

#idboardreview 60 M has 🐈 🐕 visits India & Arizona yearly now w/pneumonia, then headache, diplopia, csf lymphocytic, ⬇️glucose ⬆️protein, coccidio IgG neg, crypto neg. Enlarged ventricles requiring VP shunt. Dx? #medEd #idmedEd #IDsky csf stain 👇

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 16/05/2026

#idboardreview 25 military returned from Iraq 3wks ago: Fever, myalgia/arthralgia, headache, cough x1wk, mild abd pain, exposure to goat herders & bought a wool rug +sick contacts w/flu like sx. wbc3k, plt110 Cr1.2, mild⬆️AST/ALT+interstitial pneumonia #medEd #idmedEd #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 15/05/2026

#idboardreview 40 M teacher returned from Kenya where he stayed w/ local family, laundry dried on clothesline, now w/ pruritic painful lesion w/ wriggling sensation. Dx? #medEd #idmedEd #IDsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 14/05/2026

#idboardreview 22 M admitted w/fever, headache, petechial rash. BC+Neisseria meningitidis serogroup Y. This is 2nd episode of meningococcal meningitis (at age 16). In addition to ensuring up-to-date vaccinations, which diagnostic workup to evaluate for an underlying immunodeficiency? #idsky #idmeded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 11/05/2026

#idboardreview 65 M s/p brain biopsy for rapidly progressive dementia, ataxia, myoclonus concern for sporadic Creutzfeldt-Jakob Disease. Neurosurgical instruments used are heat-resistant but cannot be immediately incinerated. Best approach to decontaminate these tools? choices below #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 08/05/2026

#idboardreview 60 M enlarging ulcerated plaques of forearm not responding to antibiotics. Biopsy: endospores scattered throughout dermis with tightly packed, morula-like sporangium. Dx? #medSky #idmedEd #IDsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 07/05/2026

#idboardreview 18 M diabetic, student from Florida presents w/ acne which is not responding to usual topical meds, extremely itchy pruritic papule on face and chest. diagnosis? #medEd #idmedEd #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 06/05/2026

#idboardreview 70 poultry farm worker, trauma pt with prolonged hospitalization, vent associated pneumonian. BC+/BAL+ fastidious aerobic oxidase+, gram-negative bacillus, id on vitek and confirmed with 16sRNA. R to cephalosporins, improved on meropenem. dx? #medEd #idmeded #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 05/05/2026

#idboardreview 70 M infliximab for RA, shingles 7wk ago while on mediterranean cruise improved w/famciclovir now w/ confusion & HA. LP 90wbc 90% mononuclear, gluc50,protein60. MRI SAH, small/med vessels narrowing int carotid artery. dx? #medEd #idmedEd #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 30/04/2026

#idboardreview A patient living with HIV has these lesions on his forehead. What is the most likely body site where the virus can spread to? #idmeded #meded #idsky

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Reposted by Infectious Diseases Fellowship at Indiana University

Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 30/04/2026

🆕💥Exciting news U.S. FDA Grants Priority Review of New Drug Application for Gilead’s once-daily single-tablet combination(Bictegravir Plus Lenacapavir) regimen for the treatment of HIV in adults who are virologically suppressed PDUFA: August 27, 2026 #idsky www.gilead.com/news/news-de...

gilead.com

U.S. FDA Grants Priority Review of New Drug Application for Gilead’s Once Daily HIV Treatment of Bictegravir Plus Lenacapavir

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 29/04/2026

#idboardreview 51 M farmer exposure to cattle, horse, recent contact w/ mice carcasses due to recent regional mouse plague w/1 mo arthralgia of back,hip, knee now w/headache, neck stiffness, photophobia, lower abdominal rash. CSF ME panel neg. pic for ref #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 29/04/2026

#idboardreview Refugee from Eritrea presents with fever, abd pain, petechial rash, jaundice, leukopenia, anemia, thrombocytopenia, giemsa thick film shown #idsky#idmeded #MedEd

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 28/04/2026

#idboardreview 65 Japanese M PMH cirrhosis who has raw fish diet admitted with RUQ and diarrhea, imaging +cholecysitis and later +BC GNR oxidase-positive, glucose-fermenting, motile resistant to ampicillin, beta hemolysis w/green pigment on agar #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 24/04/2026

#IDBoardReview 30 MSM, abd pain, diarrhea, 40 lb wt loss, inguinal lymphadenopathy, rash, Hb 6, EGD/colonoscopy results shown. Duodenal biopsy: pindle cells, slit like vascular channels, extravasated rbc, +CD34 immunestain. rectosigmoid: mucin granuloma #medEd #IDMedEd #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 23/04/2026

#idboardreview 25 M recent trip to SW 🇺🇸 hiking Grand Canyon & Zion N, stayed in cabin: noticed 🐁 rat droppings. 2 wks later presents w/ fever, tachy, cough, dyspnea w/ rapid progression to pulm edema. thrombocytopenia, ⬆️Hct, neutrophilic leukocytosis. Diagnosis? #medEd #idmedEd #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 22/04/2026

#idboardreview PLWH on ritonavir-boosted darunavir (DRV/r), emtricitabine/tenofovir TAF developed centripetal obesity, dorsocervical fat pad, facial fullness, proximal muscle weakness x6wks. Mild asthma & recently started daily inhaler. ⬇️serum cortisol, ⬇️ACTH. Likely inhaler-drug interaction? #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 21/04/2026

#idboardreview Person w/AML undergoing induction chemotherapy has febrile neutropenia. Despite on echinocandin, remains febrile and has new, painful, erythematous nodules on his arms & legs. Blood cultures +yeast-like, MALDI-TOF MS id as Trichosporon asahii. treatment? #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 20/04/2026

#idboardreview 40 M living with HIV undetectable on ART few unknown sexual partners, presents w/ redness of b/l eyes of 5d +blurred vision +photophobia, no pain, no exudate, no gritty sensation, no fever, no HA, no focal deficits. dx? #meded #idmedEd #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 16/04/2026

#idboardreview 4-month-old infant w/ tender, enlarging swelling in the left axilla x3weeks. Afebrile, growing well. Hx of BCG vaccine at birth. +suppurative, mobile left axillary lymph node. Next step? #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 15/04/2026

#idboardreview 30 MSM PLWH Cd4 800 VL<20 on ART presents w/ 2wk abd cramps & watery diarrhea. Blood agar: gram negative, translucent, flat bacterial colony that appeared to spread across plate. Dx? #medEd #idmedEd #IDsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 13/04/2026

#idboardreview 65 M s/p splenectomy 5yrs ago due to accident, from Connecticut admitted in July w/ 1wk of fevers, drenching sweats, fatigue, dark-colored urine, jaundice. Hb 8.5, plt 85k, Tbili 3.5, LDH 650, haptoflobin<10. Treatment? #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 02/04/2026

#idboardreview 54 yo M s/p heart transplant recipient 3 mo ago, on tacrolimus, mycophenolate, dx w/ invasive pulmonary aspergillosis & started on voriconazole. 3 days later +tremors. confusion. Tacro level 25. Interaction? #idsky #idmeded #meded

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Reposted by Infectious Diseases Fellowship at Indiana University

Open Forum Infectious Diseases @ofidjournal.bsky.social · 02/04/2026

Impact of High-Dose Rifampicin on Linezolid Pharmacokinetics in Tuberculous Meningitis ✅ Just Accepted 🔗 bit.ly/4s0mYab

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 01/04/2026

#idboardreview PLWH not in care, CD4 35, VL 1mil w/ severe RUQ pain, nausea, and intermittent low-grade fever x1wk. AlkP 850 w/mild inc transaminases. US: thickening of common bile duct &intrahepatic bile duct dilatation. Stool +Cryptosporidium spp. Next step? #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 31/03/2026

#idboardreview 35 F s/p kidney transplant 4mo ago w/cough, dyspnea. 1 mo later:H/A, vertigo, ataxia. No travel/animal exposure, grows indoor potted plants. CT chest wedge shaped opacity. CT head brain abscess. Skin lesion. Biopsy: Fungal forms brown on hematoxylin-eosin stain. #medEd #idmedEd #IDsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 30/03/2026

#idboardreview 60 M w/atrial fibrillation & recent esophageal candidiasis on fluconazole x2wks. Current meds: warfarin, metoprolol, lisinopril. Seen in clinic w/several large bruises on arms & legs. Which of the following best explains the mechanism of this interaction? #idsky #meded #idmeded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 24/03/2026

#idboardreview 30 M PLWH not on ART, CD4 22, VL 70k w/ worsening "floaters" & blurred vision in L eye x 2 wks. Funduscopy: yellowish-white retinal necrotic lesions w/adjacent hemorrhage along superior temporal artery. Lesion is located in peripheral retina. Treatment? #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 23/03/2026

#idboardreview 62 M from rural S Korea consumes fresh water fish w/RUQ abd pain, wt loss, intermittent jaundice x 2mo. Ct: 4cm mass L hepatic lobe w/dilated bile ducts. ELISA+Clonorchis. Pathology linking chronic infection to biliary tract malignancy? #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 19/03/2026

#idboardreview 45 M 2-months post-kidney transplant on tacrolimus, mycophenolate, prednisone. What advice can you provide regarding live vaccines for her 8-year-old daughter and 40-year-old wife? #idsky #idmeded #meded #vaccination

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 18/03/2026

#idboardreview Person w/ borderline leprosy was started on rifampicin, dapsone, clofazimine 4 wks ago, now w/F 102F, diffuse exfoliative rash, cheilits, subconjuctival hemorrhage, b/l ulnar claw hand deformity, ALT 540, AST 250, bil 3.8, Hb 9. dx? #idsky #idmeded #meded

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 17/03/2026

#idboardreview PLWH (CD4 50) admitted w/Pneumocystis jirovecii pneumonia (PJP) pneumonia on trimethoprim-sulfamethoxazole (TMP-SMX) at 15 mg/kg/day. On day5: petechiae, gingival bleeding, no fever/no rash. drop in platelets 8k. Hb normal, no schistocytes. dx? #idmeded #meded #idsky

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 13/03/2026

#idboardreview 62 M w/fever, cough, dyspnea, diarrhea x5d. Retired landscaper who spent the weekend potting plants & moving compost in his garden. wbc10k, Na130, Tbili7, Alk270, AST 75, ALT 110 , LLL consolidation. urine strep/legionella neg. next diagnostic step. pic for ref #idsky #idmeded #meded

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Reposted by Infectious Diseases Fellowship at Indiana University

Jonathan Ryder, MD @jonathanrydermd.bsky.social · 12/03/2026

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roon.com

Roon for Medical Experts

Where the world’s best physicians share knowledge and advance medicine—together.

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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 11/03/2026

#idboardreview 24 F w/lower abd pain worse over 4d, purulent vaginal discharge & 100F. No N/V/urinary sx. preg neg, New partner for 1 mo, no barrier contraception. +cervical motion tenderness, tx w/IM ceftriaxone, po doxy/metronidazole. What advice for her partner? #idsky #idmeded #meded

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