Test Tools New Infectious Disease Game

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Jaundice101

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Interested in learning infectious disease through a card game? Epipocalypse: Bug Detectives is designed to teach the basic clinical presentation, geographic distribution, vectors, reservoirs, and more of 100+ infectious diseases worldwide. Players take turns matching infections to researchers in various combinations to maximize points. The game is still in development, but a Kickstarter to determine interest and hopefully print a professional-quality version is coming mid-2025.

Link for the free print n' play files: Epipocalypse Download (requests an email)

Link to try online for free: Epipocalypse | LabBeagleGames | Screentop.gg

Link to the future Kickstarter: Epipocalypse: Bugs Detectives Kickstarter

Attached below are some samples cards. Feel free to ask any questions. All input appreciated.

More games at Lab Beagle Games.

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Going to start sharing draft Infection Cards for the upcoming Epipocalypse: Bug Detectives Kickstarter. First, Lyme!

Feedback and suggestions welcome.

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Next draft Infection Card for Epipocalypse: Bug Detectives: American Trympanosomiasis (AKA "Chagas")!

Twitter - 3 Am Trymp.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Chikungunya!

Any feedback or suggestions?

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Next draft Infection Card for Epipocalypse: Bug Detectives: Ross River Fever!

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: STARI! The Lyme look-alike we haven't quite identified yet.

Feedback or suggestions?
Twitter - 7 STARI.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Rocky Mountain Spotted Fever! Fun to say, not fun to have.

Also, one of the unusual vectorborne infections where the vectors are themselves also the reservoirs.

Any feedback or suggestions?

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Next draft Infection Card for Epipocalypse: Bug Detectives: Lyme Carditis!

When it comes to heart infections we typically think (A) endocarditis or (B) myocarditis. Time for something completely different.

Any feedback or suggestions?
Twitter - 10 Lyme Card.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Bartonella quintana Endocarditis!

Previously thought to be fading in incidence, unfortunately resurgent with the increase in homelessness.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Scrub Typhus!

One of three typhuses! (Typhi?) Stay tuned!

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Epidemic Typhus!

Typhus two! The "louse-borne" one.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Endemic Typhus!

Typhus three! The "flea-borne" one.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Cutaneous Leish!

How does one pronounce Leishmania anyway?

Any feedback or suggestions?
Twitter - 16 Leish Cute.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Hepatitis A!

The original acute hepatitis.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Salmonella!

Lots of ways to get it. Tiny turtles probably the cutest.

Any feedback or suggestions?
Twitter - 18 Salmon.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Campylobacter!

The GI bug that can make your immune system go wacky.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Listeria!

A psychrophile!

Any feedback or suggestions?
Twitter - 20 Listeria.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Taenia!

The tapeworm in your poop. (Before it gets in your brain.)

Any feedback or suggestions?
Twitter - 21 Taenia.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Schistosoma!

The fluke that can go just about anywhere.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Schisto again!

Now it's in the GI tract. Misbehaving.

Any feedback or suggestions?
Twitter - 23 Schisto GI.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Leprosy!

Chronic rash + loss of sensation should raise 🚨

Any feedback or suggestions?
Twitter - 26 Leper.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Back to the schistosomes!

Different species are associated with different end organ disease manifestations.

Any feedback or suggestions?
Twitter - 24 Schisto L.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Mycobacterium marinum!

The seafarers mycobacterium.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Cryptosporidium!

Beware splash pads!

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Giardia!

Everyone's favorite chronic diarrhea. Right?

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: the Vibrios!

Hard to say if septicemia is a distinct enough disease process versus the diarrhea + sepsis from ingestion or SSTI + sepsis from cutaneous inoculation...

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: the Vibrios!

Take home point: eating raw oysters is always a 🎲.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: the Vibrios!

The last non-cholera Vibrio card. Be careful wading in certain bodies of salt water with open wounds. Vibrio and the whole shark thing.

Any feedback or suggestions?
Twitter - 32 Vibrios SSTI.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: the REAL Vibrio. Cholera!

This card actually needs to be updated, don't forget the oysters!

Any feedback or suggestions?
Twitter - 33 Cholera.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Entamoeba!

It starts with gastroenteritis and ends with a liver abscess. Sometimes.

Any feedback or suggestions?
Twitter - 34 Entamoeba L.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Entamoeba again!

Sometimes causes dysentery a la The Oregon Trail.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Aeromonas!

Cellulitis + fresh water trauma = Aeromonas. At least on the pop quizzes.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: TB Time!

I suppose I should change it to Mycobacterium tuberculosis *complex* given it's more than one species...

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: TB Time!

AKA Pott's disease. Cold abscesses are kind of a mycobacterial thing in general. And fungal.

Any feedback or suggestions?
Twitter - 41 TB Spine.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: TB Time!

Peritoneal studding is also often seen intra-op.

Any feedback or suggestions?
Twitter - 42 TB GI.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: TB Time!

TB pericarditis is one of the few TB instances where steroids in addition to RIPE can be helpful.

Any feedback or suggestions?
Twitter - 43 TB Heart.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: TB Time! Can't stop, won't stop.

TB lymphadenitis is the most common site of dissemination.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: TB Time! Ok stopping. Last TB card.

TB meningitis. Another TB presentation that may benefit from prophylactic steroids.

Any feedback or suggestions?
Twitter - 46 TB CNS.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Measles!

Unfortunately this is a thing again. Remember the 3 C's and to keep it in your differential!

Any feedback or suggestions?
Twitter - 47 Measles.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: Rubella!

Waiting for its chance to make a comeback? One of those other vaccine preventable viruses. Can also infect unborn children.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Mono!

Some cases may be subclinical. The great majority of people are seropositive by adulthood.

Any feedback or suggestions?
Twitter - 48 Mono.png
 
Next draft Infection Card for Epipocalypse: Bug Detectives: RSV!

Moms can protect their babies while pregnant through vaccination and for those that miss it, babies can be protected through antibodies.

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Coronaviruses! All of them (that infect humans)!

Don't forget the MERS! 🇸🇦

Any feedback or suggestions?
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Next draft Infection Card for Epipocalypse: Bug Detectives: Ascaris!

A helminthic infection that's usually asymptomatic except in high burden cases.

Any feedback or suggestions?
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Next draft Infection Card: Trichinella!

Can infect a lot of mammalian wildlife, but 🐻 are the ones that seem to most commonly make the news.

Any feedback or suggestions?
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