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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.
@lazoalex87's excellent suggestion: recurrent acute retroviral syndrome! Improved with ART, no other infection foundhttps://academic.oup.com/ofid/article/1/3/ofu112/1400864 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
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
#iddailypearlHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Microbe taxonomy has reached a new low... but total home-run with Cutibacterium acnes, love that one!https://twitter.com/Gnfidz/status/1222207399286558720 …
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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)
@HIVMA#IDtwitterHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
David Serota proslijedio/la je Tweet
Some highlights below from the talk
@north_noelck and I gave on bacterial endocarditis to the@OHSUCardio and@OHSU_ID fellows... Biggest take-home: multidisciplinary#MedEd is cool!!#endocarditis#cardiology#infectiousdiseasespic.twitter.com/dQYPGioN1k
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Linezolid + methadone = beware! News to me. Just had patient with serotonin syndrome on this combination (no other serotonergic meds). Apparently it has been described: https://www.pharmacytimes.com/publications/issue/2018/September2018/linezolid-and-serotonin-syndrome …. I think there's cases of linezolid serotonin syndrome by itself too though.
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It doesn't take a lot to make a patient with IDU-endocarditis way more comfortable... 1) treat with respect 2) give methadone/bupe
@TracyVettese@JHospMedicine https://journalofhospitalmedicine.com/jhospmed/article/214073/hospital-medicine/new-answers-old-questions-treatment-severe-infections …https://twitter.com/liebschutz/status/1214923729760862210 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Don't forget the initiation of my favorite ID journal
#OpenForumInfectDis!!@IDSAInfo@PaulSaxMD swooonhttps://twitter.com/PaulSaxMD/status/1214540270634774529 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
David Serota proslijedio/la je Tweet
https://umiami.qualtrics.com/jfe/form/SV_cXVeg9FiOWznr7f … Our goal is that every graduate of
@umiamimedicine 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.@univmiamipic.twitter.com/JBfgUFPmar
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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.https://twitter.com/ErinMcCreary/status/1212935229662539780 …
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Hey all in the UM/Jackson community, come learn how to treat addiction (with buprenorphine) and save lives!
@jabarocas@hanselt@EMinMiamipic.twitter.com/9J4e89XSby
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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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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!
#IDtwitterPrikaži ovu nitHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
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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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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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:https://www.bmj.com/content/358/bmj.j4090 …
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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.
@FungalDoc@GermHunterMDHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
#IDdailypearl 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.@UGotABug@Daniela08592836https://jcm.asm.org/content/54/4/1133 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
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.https://twitter.com/TimLaheyMD/status/1199022419178147841 …
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) doctor in Miami. Research: PrEP, infectious complications of addiction, pizza.