David Serota

@serotavirus

Infectious disease (🤒🤮) doctor in Miami. Research: PrEP, infectious complications of addiction, pizza.

Vrijeme pridruživanja: veljača 2009.

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  1. 2. velj

    Pt w/ fever and eos in ICU for pulm issue, long well controlled HIV but ART fell off med list sometime during prolonged hospital stay. 's excellent suggestion: recurrent acute retroviral syndrome! Improved with ART, no other infection found

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  2. 2. velj

    Never been able to remember which malaria species have liver stage, but just discovered a mnemonic. All the words have 5 letters: LIVER, OVALE, VIVAX

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  3. 28. sij

    Microbe taxonomy has reached a new low... but total home-run with Cutibacterium acnes, love that one!

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  4. 22. sij

    Soon to start having an HIV clinic again: What's the best available evidence showing benefits outweigh harms of anal cancer screening among MSM living with HIV? (pending ANCHOR study results)

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  5. proslijedio/la je Tweet
    17. sij

    Some highlights below from the talk and I gave on bacterial endocarditis to the and fellows... Biggest take-home: multidisciplinary is cool!!

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  6. 16. sij

    Linezolid + methadone = beware! News to me. Just had patient with serotonin syndrome on this combination (no other serotonergic meds). Apparently it has been described: . I think there's cases of linezolid serotonin syndrome by itself too though.

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  7. 8. sij
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  8. 7. sij

    Don't forget the initiation of my favorite ID journal !! swooon

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  9. proslijedio/la je Tweet
    6. sij

    Our goal is that every graduate of treats patients with substance use disorders with the dignity and respect they deserve, including lifesaving medications like buprenorphine. Join us 1/10 or 1/11 for this interactive training.

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  10. 3. sij

    In chart reviews for people with IDU-staph bacteremia I worked on, amazing how many DC from the ED without treatment, unsuccessfully called back, then came back weeks later for unrelated problems seemingly unscathed.

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  11. 30. pro 2019.

    Hey all in the UM/Jackson community, come learn how to treat addiction (with buprenorphine) and save lives!

    , , i još njih 5
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  12. 25. pro 2019.
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  13. 25. pro 2019.

    The more staph bacteremia I see, the less I understand it... MRSA bacteremia, vanco MIC=2 but responding to therapy. What do you do:

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  14. 18. pro 2019.

    I feel like I have heard only miraculous things about this regimen... here is an utter failure. Also open to other exotic approaches to refractory MRSA bacteremia!

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  15. 18. pro 2019.

    Patient with persistent MRSA bacteremia from endocarditis still positive cultures after 5 days dapto/ceftaroline. Cannot have valve surgery and no other metastatic sites identified. This concludes my case report for the Annals of Negative Anecdotes.

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  16. 11. pro 2019.

    Maybe modest effect, but I'll take an extra 11 hours w/o sore throat please! Also definitely more effective than antibiotics...

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  17. 11. pro 2019.

    Friendly URI-season reminder that a single dose of oral dexamethasone is effective at reducing sore throat symptoms. NNT 5 for complete sx resolution @ 48hrs. Average complete sx resolution 11hrs earlier than placebo. Here is a handy decision aid:

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  18. 4. pro 2019.

    Any thoughts on interpreting a BAL 1,3-b-d-glucan (fungitell) that's >500 when candida also seen on the BAL? High pretest probability for PJP, but awaiting PCR.

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  19. 3. pro 2019.

    Xpert MTB PCR on pleural fluid is only 51% sensitive versus culture. Only 23% sensitive vs. a composite reference standard. Negative test does not rule out pleural TB.

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  20. 25. stu 2019.

    I wonder if these 2 infections despite adherence didn't have HIV at the time of PrEP initiation (acute HIV?)... Since TDF alone is effective for PrEP (see Partners PrEP, Bangkok study) and M184V increases susceptibility to TDF. Also, seroconversion is delayed/atypical on PrEP.

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