I am always humbled by cholangitis and how source control is fundamental. When there is RUQ pain --> evaluate those ducts and get the bile flowing.
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Couldn’t agree more. The biliary tree is the most “porous” part of the GI with regards to bacteremia.
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As
@BradSpellberg would say -shorter is better! 7 days if adequate source control https://www.ncbi.nlm.nih.gov/m/pubmed/30535100/ … -
Ooo - hadn’t seen this recent paper. Will give a close read - thanks so much for sharing!
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Being in SoCal (and in public health to boot) we frequently run into 𝘉𝘳𝘶𝘤𝘦𝘭𝘭𝘢 especially with animal and unpasteurized dairy exposures.....and it's almost always a nightmare for clin labs that don't routinely work up blood cultures in a BSC (which they REALLY should).
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Great addition! Thank you so much.
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2 weeks ago 67 yof went from yoga to pressors in 6 hours due to Proteus and obstructing stone. dead within 36 hours..
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Tragic. So tragic...
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Thank you
Rabih! -
Thank YOU for sharing!
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and
roots.