Kaposi Sarcoma–Associated Herpesvirus Infection and Complications Among Solid Organ Transplant Recipients — United States, January 2021–September 2025 New in MMWR -46 cases of susp donor-derived KS in SOT, vs 9 from 2016–2020 -2/3 donors had a hx of nonmedical drug use www.cdc.gov/mmwr/volumes...

Just woke up and checked emails to see that 8 new participants recruited to #SNAP_Trial in the past 8 hours! While a number of domains have closed (PSSA, MSSA, adjunctive clindamycin) we continue to recruit to other domains. Beyond 5,800 total participants now. @gurujosh.bsky.social

New research from our faculty: antibiotic allergy labels in transplant patients are linked to C. diff infections, more antibiotic use & longer hospital stays, and they may be preventable. 🔬 #IDSky #MedSky

New in ICHE: Not everyone is "special" 🦠 Free text overrides in UA driven reflex urine culture protocols are frequently misused ▶️ 97% (816/839) of "other" indications inappropriate & 83% cultures were avoidable ▶️Removing the option: low-risk, high-yield #IDSky 📄: doi.org/10.1017/ice.2026.10419

Every retrospective IVIG publication ends the same. Your chance to change that conclusion coming soon… STRAP in, STRAP is coming! www.doherty.edu.au/articles/wor... @steventong.bsky.social @gurujosh.bsky.social @drmichaelmarks.bsky.social @drtoddlee.bsky.social @ashabowen.bsky.social and more!

Should we use IVIG in Strep Toxic Shock Syndrome? New multi-center 🇸🇪 study: -106 pts (53% treated w/ IVIG) -In model accounting for (lactate, SOFA score, CCI and clindamycin use, and immortal time bias 😍) showed no benefit HR 0.69, 95% CI: 0.34–1.41 #IDSky academic.oup.com/ofid/advance...

They went to war with Iran (which nobody in America was asking for) so they could conjure an excuse to allow ICE to keep murdering Americans and teargassing schools here at home with impunity (which nobody in America was asking for).

"American innovation" now refers to making a kind of atrocity cronut by combining insider trading with war crimes.

When I saw the news story about the girls school being bombed, one of my first thoughts was about how unlike American physics, Iranian physics is 50% women at the undergrad level and how some of those girls who had been murdered were going to be physicists one day

The number of dead kids in the Israeli bombing of a girl’s school in Minab, southern Iran, has now reached 148. Don’t let them sell you dead children as “collateral damage of a just war”. The death of Khamenei does not justify 148 dead children.

The mass murder of civilians in Gaza, the brazen attacks on hospitals and schools, without any accountability has created a new kind of warfare that should terrify and enrage all of us. Every child lost is someone’s whole world. Every life lost matters www.bbc.co.uk/news/article...

“Fish start to stink at the top”: [this is a proverb] applied to people who have scoundrels for leaders.” ᾿Ιχθὺς ἐκ τῆς κεφαλῆς ὄζειν ἄρχεται: ἐπὶ τῶν ἐπιστάτας φαύλους ἐχόντων. #Proverb

the war is unpopular but it's also illegal but it also doesn't serve any purpose but it also undermines diplomacy but it also is set to produce the opposite outcome as intended but it also already has hundreds dead and threatens more but it also will not make anything better for anyone but it also

I am pro Iranian people. I stand with them against their own government’s repression AND against the imperial violence in the form of bombs dropped from the sky from Israel & the US who have already killed hundreds. I support neither imperialism or dictatorship. Sahar Delijani said it best:

Couldn't happen to a nicer guy

🔥Just published 🔥 TAPER-V RCT In this RCT of 256, a 4-week vancomycin pulse and taper regimen *had a probability of 74% to be superior to a standard 2-week pulse regimen in patients a first episode or first recurrence of CDI Vanco for 10d is obsolete! #IDSky #EMIMCC jamanetwork.com/journals/jam...

This is about political retribution. Trump is weaponizing the federal government to punish states like Minnesota that didn’t vote for him — ripping away funds from pregnant women, seniors, and people with disabilities. You don’t fight “fraud” by hurting the most vulnerable.

This Startup is Trying to Harvest My Bones for Gelatin. The Difference? They’re Doing It Humanely.

"Emergency" rule means 1000s of Floridians will lose access HIV/AIDS medications March 1. Ladapo said the move was needed to fill a budget shortfall made worse by expiring premium tax credits. No other state has made such a drastic change. #IDsky #publichealth #LGBTQ #Florida #politics

Have to admit that I had not heard of pseudorabies before #IDSky

#croi2026 #hivsky #idsky 513 - Phase III Efficacy and Safety of Switch From B/F/TAF to Single-Tablet BIC/LEN in #ARTISTRY-2 presented by Eric Meissner: BIC/LEN maintained high levels of virologic suppression at week48 & non-inferior to B/F/TAF

Some day we'll all regret this & we'll hold hearings & rend garments & pledge "never again" & we'll be just as full of shit as we were last time.

Disconcerting to see such low performance of Legionella urine Ag in a sick population. Reinforces my strategy that if a patient is sick enough, may not discontinue Legionella coverage just for a negative urine antigen.

This sounds unbelievable but its true: since Bezos acquired The Post, his wealth has grown tenfold and the Post has been cut in half. donmoynihan.substack.com/p/the-trust-...

Remember when RFK Jr. unilaterally decided that COVID19 vaccines should no longer be recommended during pregnancy? Well, COVID19 increases the risk of preeclampsia. And it turns out that getting boosted, either before or during pregnancy, significantly reduces the risk of preeclampsia.

Key take-aways: There are lots of insights here for how to diagnose and manage resistance more effectively… but most important #1 for chronic infections is finding out if resistance is there BEFORE you start to treat! - doable, cheap, likely to delay resistance www.biorxiv.org/content/10.6...

How does treatment induced antibiotic resistance happen in real-world infections? We analysed 25k Pseudomonas isolates from 180 patients in a clinical trial to find out! TLDR: The ecological and evolutionary paths are surprisingly diverse & complex even in patients receiving identical treatment…

Melioidosis Complicated by Native Valve Endocarditis in a Traveler Returning From Thailand to the United States ✅ Just Accepted 🔗 https://bit.ly/4qHGM1p

A 23-year-old man presented with a 2-month history of unintentional weight loss and worsening abdominal pain and distention. He had recently moved to Arizona from a remote Pacific island. Read the full case details: nej.md/4aykJ7y #MedSky #IDSky

Cabotegravir plus Rilpivirine for Persons with HIV and Adherence Challenges Aadia Rana & co for the ACTG A5359 LATITUDE Trial Team Monthly cabotegravir–rilpivirine were superior to standard ART in reducing failure among PWH who had adherence challenges www.nejm.org/doi/full/10.... #IDSky #HIVSky

In this interim analysis, there is NO increased safety risk associated with #RSV vaccination in pregnant women: preterm birth, PROM, preterm PROM, & HTNsive disorders of pregnancy #IDSky #MedSky #VaccinesWork jamanetwork.com/journals/jam...

Doctors and parents should be aware that the medical textbook description of a "bright red measles rash" is based on white skin. On brown or black skin, the measles rash can be much harder to see. It may appear as darker, dusky or purple patches rather than bright red spots. #idsky #medsky

🔥Just published 🔥 ESCMID Clinical Guidelines on the Evaluation and Management of a Reported Antibiotic Allergy #IDSjy www.clinicalmicrobiologyandinfection.org/article/S119...

Nice study from Mayo group on FUBCs in Strep BSI Higher positivity with S. anginosus & VGS than with BHS/SPN as well as deep-seated infxns, but not immunocompromised #IDSky #BCxStewardship academic.oup.com/ofid/advance...

📣 What is a #WISCA? It's something you should probably use for culture-negative prosthetic joint infections. Local antibiograms alone can be misleading. This WISCA showed that doxycycline + a fluoroquinolone offer best coverage for #PJI #IDSky #clinmicro #ortho www.cmi-comms.org/article/S295...

Amongst other things, this again highlights the core point about due process. It’s bad enough to be in a “show me your papers” situation, but your precious citizen/non-citizen, “legal”/“illegal” distinctions are meaningless when you can’t prove anything to authorities because they don’t give a shit.

1/ ProPublica collected handwritten letters in mid-January from children held at the Dilley Immigration Processing Center, the same facility where 5-year-old Liam Conejo Ramos was taken. Hundreds of kids are still detained. We’ll let the children’s words speak for themselves. 🧵

Concentration camps: “For 280 days we haven’t eaten a single piece of fruit, banana, apple, orange, or anything fresh. We are all in one big room with no doors or windows. We can’t see any grass or trees. We are all constantly sick."

Great politics should look like a party you want to join

The Sermon on the Mount, by Beryl Lewis, before 1965, 📸 by @ScottStrazzante

#IDSky I always email residents rotating with me survival tips for their time of the ID consult service. I like to keep this short and high yield but I am constantly editing and improving the tip sheet. What would you add or remove. It cannot be longer that one page 😊.

My department at Washington State University is recruiting an Assistant or Associate Professor in vector-borne disease 🕷️🦟🦠 Full job description is linked below. Come join us on the Palouse!

The Biofire which is most effective at identifying bacteria in pleural fluid? The joint infection panel which normally runs synovial fluid. 🤯 #IDSky academic.oup.com/cid/advance-...

Measles outbreak at ICE detention center housing families in TX… www.cbsnews.com/news/ice-dil... #IDSky

Reported from San Antonio area news -- There's a #Measles outbreak at the #Dilley detention center where #LiamRamos was being held. #LiamConejoRamos is back home but there are still 400 other children (1200 total detainees) still at the facility. #MedSky #IDSky www.sacurrent.com/news/san-ant...

This is just insane. It’s only a matter of time before DHS kills another innocent person here. (clip via MPR and @davidjbier.bsky.social on X)

34,000 signing up for this work AFTER seeing their fellow citizens gunned down by federal thugs in cold blood? I'm chugging whatever the opposite of doomerism is

A retired Minneapolis couple who had guns pointed at them by ICE in a church parking lot. "They were obviously not trained at all. I've known many police officers in my life. These people were right off the streets." "They had the professional demeanor of criminals." ht: @paulgraham.bsky.social

they summarily executed a fucking VA health researcher. our field cannot just ignore this. or just release angry statements and move on.

Voting NO on the DHS funding bill is the bare minimum. Backing Kristi Noem’s impeachment is the bare minimum. Holding law-breaking ICE agents legally accountable is the bare minimum. ICE is beyond reform. Abolish it.