An 80-y-o ♂️treatment for multiple myeloma: 2-week history of low-grade fevers, obtunded MR: multiple ring-enhancing lesions (A) CSF: 923 nucleated cells/μL ( 91% neutrophils), glucose 36 mg/dl, protein 147 mg/dl. CSF culture (B): ? 1/2 DOI: 10.1056/NEJMicm2104629 #IDSky #MedEd #microbiology

18-year-old♀️, HIV+: fever and a slightly pruritic, scaly maculopapular rash on her face, trunk, and upper extremities, of one month's duration. CD4+ T cells 10⁶ cells/µL, HIV viral load >500,000 copies/mL ½ pesquisa.bvsalud.org/portal/resou... #infectiousdiseases #IDSky #dermatology

The effectiveness of long-lasting spatial repellent emanators against malaria in humanitarian crisis settings in northern Nigeria: a two-arm pragmatic, open-label, controlled trial - The Lancet Infectious Diseases 👍efficacious vector control www.thelancet.com/journals/lan...

An 11-year-old ♂️ child developed an annular lesion on his abdomen during a stay in a rural environment. The lesion grew centrifugally over a month without itching or pain. ½ 🖋️Ródenas Garcinuño T, et al. In Imagen de la semana . Continuum 2026. continuum.aeped.es #IDSky #pediatrics #dermatology

One-month-old #infant: acute onset of a slightly raised, erythematous plaque on the face, with a well-defined, and a fever up to 39°C, lasting several hours. ½ Rivera F, et al. continuum.aeped.es #Medicine #pediatrics #dermatology

6-year-old male, bitten in Morocco: over 4 months, an erythematous plaque developed with a yellowish crust. Dermoscopy: erythema, yellowish hue (*), hyperkeratosis (black ⬆️), and yellow tears (white ⬆️). 🔬:? 1/2 García Gil MG et al. 10.1016/j.anpedi.2020.04.003 #MedEd #dermatology #parasitology

82-YO man, diabetes, chronic pancreatitis, & biliary strictures: fever, confusión & the R upper quadrant of the abdomen tender to palpation. CT large area of gas in the right hepatic lobe ½ @AlexBofill and Marco F DOI: 10.1056/NEJMicm2108779 #MedEd #medicine #MedicalStudents

A 49-YO♀️kidney #transplantation & immunosuppression: headache, dizziness, & pruritic umbilicated, pink papules with crusting on her face, trunk, arms, & legs. CSF: encapsulated budding yeast. 🔬of papule: yeastlike organisms with mucinous capsules ½ DOI: 10.1056/NEJMicm2109090 #MedEd #dermatology

A 66-YO♂️: 1-month of #fever & 4 days of hoarseness. ⬆️Leukocyte count XR:⬆️enlargement of the aortic arch, deviation of the trachea (A, arrow). CT: aortic pseudoaneurysm (B & C, arrows), surrounded by gas collection (B, C, & D, arrowheads). 1/2 DOI: 10.1056/NEJMicm1508258 #IDSky

Fever of Unknown Origin of 6 months in a patient who had Crohn’s disease: fevers, sweats, & weight loss FDG PET-CT scan: a fluid collection in the hip prosthesis (arrow), with 🧫 yielding Strep. sanguinis STREPTOCOCCUS SANGUINIS PROSTHETIC JOINT INFECTION #MedEd #medicine DOI: 10.1056/NEJMra2111003

✨ Dive into Guardians of the Gods by Barbara Wood. Mystery, archaeology, and ancient secrets unfold in pharaonic Egypt, in the search for Akhenaten’s lost tomb. An unforgettable adventure you won’t want to put down. 🏺📖 #BarbaraWood #novel

A 66-y-o♂️ with Crohn’s Disease: pain, diarrhea, and weight loss. Control colonoscopy, several days under immunosuppressive treatment, endoscopic findings remained unchanged 1/3 doi.org/10.1155/2016/4…#Gastroenterologyg#MedEdE#medicinene

2-year-old male, in contact with two adults with active #tuberculosis: hyperkyphosis and lower limb paresis. MRI: spondylodiscitis from D7 to D10 with perivertebral and intraspinal abscesses and anterior wedging of D8 with spinal canal narrowing. 1/2 continuum.aeped.es/screens/play... #medicine

A 6-YO♂️: 3-month of scaly, erythematous plaques on scalp (bright green fluorescence on Wood’s lamp), neck, & face; patches of alopecia & postauricular lymphadenopathy 🔬:hyphae & spores on the outside of hair shafts 🧫: septate hyphae & macroconidia ½ DOI: 10.1056/NEJMicm2108047 #dermatology #MedEd

41-yo♂️untreated #HIV infection, unprotected #sex with a♂️later diagnosed with syphilis : 9-month of annular, hyperpigmented rash, ulcerating lesions on the foot & chest 🔬: lichenoid infiltrate endothelial hyperplasia & a dense plasma cell infiltrate 1/3 doi: 10.1093/ofid/ofx139 #IDSky #dermatology

🚨 International food safety alert: recalls of infant formula contaminated with cereulide (heat-stable #toxin from #Bacillus cereus): 144 cases across 10 countries. Moderate risk due to infants’ vulnerability. 👉 www.who.int/emergencies/...

#CONGENITAL#SYPHILIS: ➖the rasht is usually oval and maculopapular ➖copper-colored with desquamation mostly in the palms and soles ➖bullous eruption known as PENPHIGUS SYPHILITICUS may develop with peeling & eventual crusting & skin wrinkling doi:10.1053/j.semperi.2018.02.005

A 37-YO ♀️, #sinusitis: headache, fluctuating forehead swelling. MRI: opacification of all paranasal sinuses, osteomyelitis of the frontal bone with erosion of anterior frontal sinus wall & a subperiosteal abscess in the patient’s forehead. ½ doi.org/10.1503/cmaj... #MedEd #IDsky

The Radetzky March by Joseph Roth is a masterpiece on the decline of the Austro-Hungarian Empire. Through three generations of the Trotta family, Roth portrays nostalgia, duty, and inevitable decay. A gem of European literature! #JosephRoth #Literature

3-YO♀️, poorly controlled type 2 DM, one month prior, tested positive for #SARS-CoV-2: pain on hard palate, with putrid halitosis. Ulcerated lesion exposing bone, & blackish slough within (arrow). 🔬 large nonseptate #hyphae with thin walls & branches ½ DOI: 10.1503/cmaj.211026 #IDsky

This week's influenza infections for Germany. 🦠 This week, 968 infections per 100,000 citezens were detected. Created on 2026-04-02.🗓️ CREDIT: Data was obtained from the Robert Koch-Institute under CC BY 4.0 licence. #Influenza #Virology #Epidemiology #PublicHealth #Flu #EpiSky #IdSky #FluSky

An 81-YO woman, type 2 diabetes mellitu: fever with oral pain, odynophagia & multiple yellowish-white, pseudomembranous lesions on the patient’s tongue. Esophagogastroduodenoscopy showed multiple shallow ulcers with a white coating 1/3 doi.org/10.1503/cmaj... #Medicine #IDpost

The #WHO recommends new #diagnostic tools to help end #tuberculosis such as: ➡️ diagnostic tests to be used near the patient and ➡️ samples taken from the tongue (faster and able to reach more people) www.who.int/es/news/item...

A 27-YO ♀️,fever, headache, diarrea & PCR + for #SARS-CoV-2 infection: One week later, a migratory, pruritic urticarial #rash. Over the next week: erythematous plaques (wheals) on her face, limbs, trunk, palms and soles, and angioedema of her lips 1/3 doi.org/10.1503/cmaj.2…

A 44-YO ♂️ from British Columbia, immunosuppressed because treatment for multiple sclerosis and immune thrombocytopenia: headaches & vomiting MRI: cysts in the basal ganglia CSF: normal, but pressure >55 cm H2O & ➕ for cryptococcal Ag 1/3 doi.org/10.1503/cmaj... #IDpost #MedEd

6-year-old female, from Morocco: painless erythematous lesions for 7 months on the forearm (central hyperkeratosis) & leg (ulcerated, with some exudation, well-defined and hyperpigmented borders) 1/2 🖊️Santacreu, I, @roser_ayats @parctauli continuum.aeped.es #MedEd #medicine

Poor control of pulmonary viral replication in #COVID-19 patients with early respiratory failure and invasive mechanical ventilation: high levels of #SARS-CoV-2 RNA and evidence of active viral replication in the lower respiratory tract. sciencedirect.com/science/arti...

Infection with Japanese encephalitis virus, a mosquito-borne flavivirus, was identified in a patient who received a liver transplant from a donor who resided in California. Read the full report: nej.md/4uPTWNf #MedSky #IDSky

12-year-old male, erythematous–scaly plaques on the occipital area appearing one month ago: two alopecic, painful, and suppurative plaques in the occipital region; painful right lateral cervical lymphadenopathy. ½ 🖊️García Salamanca et al. continuum.aeped.es #MedEd #medicine #microbiology

60-YO♂️, 4 weeks earlier PCR + for SARS-CoV-2 infection (not Covid vaccination): shortness of breath, fever, lymph node⬆️of his neck, conjunctivitis (A), erythema & ⬆️of his tongue (B), pitting edema, & erythema of his toes (C). 1/3 #medicine #microbiology #dermatology doi.org/10.1503/cmaj...

First human case of #avian #influenza A(H9N2) in the EU/EEA detected in Italy (Lombardy) in a traveller. Patient hospitalized; no evidence of human-to-human transmission. Risk to general population assessed as very low. More: www.ecdc.europa.eu/en/news-events

Brote de #meningitis B en #Kent (Reino Unido): alrededor de 29 en total (20 confirmados y 9 probables) con 2 fallecidos. Se investiga y se actúa con antibióticos y vacunación MenB Clave: detección precoz y vacunación, incluso si ya se recibió otra vacuna meningocócica www.who.int/europe/news/...

A 7-year-old Caucasian female child, Brazil: presented dark spots on the left palm about 1 month before the exam; they converged to a unique macule with speckled pattern, and geographic shape. 1/3 www.ajtmh.org/view/journal... #dermatology #pediatric

#Mpox: detectados 2 casos de variante recombinante (clados Ib y IIb) en Reino Unido e India. Evolución leve y sin contagios secundarios. Podrían existir más casos. La OMS mantiene riesgo moderado en grupos de mayor exposición y bajo en población general. www.who.int/emergencies/...

A female patient consuming raw date palm sap: fever & neurological symptoms on January produced by #Nipah #virus infection #Bangladesh has small NiV outbreaks, corresponding with the harvesting/consumption of date palm sap Public health risk is low at the global level www.who.int/emergencies/...

13-year-old girl: pain and induration in the right breast, present for one week. Afebrile. Medical history: breast cancer in mother and grandmother. Ultrasound: periareolar cystic lesion with echogenic content and⬆️vascularization. 1/2 Erroz Ferrer M, y col. 2026. continuum.aeped.es

14-day-old #neonate: bilateral breast enlargement and redness of 3 days' duration. Exclusively breastfed. 1/2 Almerich MC et al. In Image of the Week. Continuum 2026. [online] Available at continuum.aeped.es

📍Hoy, como cada 24 de marzo, celebramos el Día Mundial de la #Tuberculosis, una de las enfermedades infecciosas más prevalentes. cc @cienciagob.bsky.social @sanidad.gob.es 🦠 Abrimos #hilo con contexto científico sobre la situación de la tuberculosis, datos en España y labor desde el #ISCIII ⬇️

🚨 Global #measles crisis: - 395,521 cases in 2024, highest in Europe in 25+ years. - #Vaccine coverage dropped to 81%. - US reports 1,088 cases & 3 deaths in 2025. . Vaccine hesitancy threatens elimination status. 📖 NEJM 2025;393(24):2447-58

“Air pollution fell substantially as Paris restricted car traffic and made way for parks, people-streets and bike-lanes.” Better for the climate, better for health, better for livability and quality of life. Common sense. Such a no-brainer, it’s remarkable that more cities HAVEN’T done the same.

shingles vaccine news: it cut major cardiac events by 46% and deaths by 66% in high-risk folks within a year. that's a big deal for heart health!

16-y-o Indian 👦: an 8-year history of asymptomatic, slowly progressive skin lesion over the left knee, well-defined erythematous scaly plaque with crusting,& areas of atrophy and scarring (Fig 1). Tuberculin skin test: +++ (Fig 2). DOI: doi.org/10.4269/ajtm... 1/3 #medicine #dermatology

#India reports 2 confirmed #Nipah #virus cases in West Bengal, both healthcare workers. The case fatality ratio in outbreaks across Bangladesh, India, Malaysia, and Singapore range from 40% to 75%, depending on local capabilities for early detection & clinical management. www.who.int/emergencies/...

United Kingdom Loses #Measles Elimination Status The elimination status was removed based on data showing sustained #transmission in 2024 with an incidence of 51.3 per million. www.gov.uk/government/p...

Rare #Rabies Transmission Tied To Organ #Transplant A rare case of human-to-human rabies transmission has been linked to solid organ transplantation, according to a newly published CDC report (MMWR Morb Mortal Wkly Rep 2025;74[39]:600-605). www.idse.net/Zoonotic-Dis...

#Ethiopia experienced its first-ever outbreak of #Marburg virus disease in late 2025, which has now been officially declared over on 26 January 2026. • Total cases: 14 laboratory-confirmed cases. • Deaths: 9 (case fatality rate ≈ 64%). www.who.int/emergencies/...

#MERS- CoV, 2025 Since the beginning of 2025 and as of 21 December 2025, a total of 19 cases of Middle East respiratory syndrome #coronavirus, including 4 deaths have been reported. Of the 19 cases, 17 were reported by the Kingdom of Saudi Arabia, and 2 from France. www.who.int/emergencies/...

🥳 Guinea and Kenya eliminated sleeping sickness. 🥳 Niger became the first African country to eliminate river blindness. 🥳 Georgia, Suriname and Timor-Leste were certified malaria-free. 🥳 Brazil eliminated mother-to-child transmission of #HIV. 🔗 bit.ly/49wdcpl

"Dive into 'The Plains of Passage' by Jean M. Auel! Ayla and Jondalar trek across prehistoric european steppes in an odyssey of love, danger, and discovery. 📖🌍 #JeanMAuel #PrehistoricNovel"

A 75-YO♀️ 4 year of minocycline for chronic osteomielitis: a 3-year of gradually darkening facial skin, diffuse blue–gray #hyperpigmentation on her face & ears, with sparing of an area beneath her right eye, where she had received a skin graft 6 years before 1/2 DOI: 10.1056/NEJMicm2111130 #IDSky