Alfred Luk
@alukmd.bsky.social
📤 1179
📥 130
📝 20
Transplant Infectious Disease physician at Tulane via NYU ID and SUNY Downstate IM.
#IDSky
#TxID
pinned post!
Transplant at Tulane is growing! We’re also starting a thoracic transplant program. Looking for an experienced transplant ID physician to join me and our team at @TulaneMedicine . DM for questions
apply.interfolio.com/157421
#TxID
#IDSky
@txidfellows.bsky.social
loading . . .
Apply - Interfolio {{$ctrl.$state.data.pageTitle}} - Apply - Interfolio
https://apply.interfolio.com/157421
11 months ago
0
31
18
Aspergillus by
@glaucomflecken.bsky.social
loading . . .
Random Education: Aspergillus
YouTube video by Dr. Glaucomflecken
https://youtube.com/shorts/RE1fKMSm0Nc?si=gttjV5zI0B15AnEF
about 2 months ago
0
2
0
For the awake and dedicated. 7am session - top papers in transplant ID.
#TxID
#WTC2025
2 months ago
0
6
0
reposted by
Alfred Luk
Joanna Schaenman, MD, PhD
2 months ago
Don't miss the new
@amjtransplant.bsky.social
#TxID
blog led by Emily Blumberg
ajt-transplant-id-exchange.squarespace.com
#wtc2025
@ast-idcop.bsky.social
@ast-tyfcop.bsky.social
@astinfo.bsky.social
loading . . .
AJT Transplant ID Exchange
https://ajt-transplant-id-exchange.squarespace.com
0
13
6
reposted by
Alfred Luk
AST IDCOP
2 months ago
Dr. Robert (Bob) Rubin Transplant ID Award Recipient for 2025 is the amazing
@kottonnelson.bsky.social
!!!
#TxID
#MedEd
@astinfo.bsky.social
0
29
9
reposted by
Alfred Luk
Joanna Schaenman, MD, PhD
2 months ago
Packed house at talk on
#MDR
challenging cases at
#WTC2025
- clearly a growing concern in
#TxID
#IDSky
discussion of ceftaz avi plus aztreonam v cefidericol for CRE
@ast-idcop.bsky.social
@txidfellows.bsky.social
@astinfo.bsky.social
@ttsorg.bsky.social
0
15
4
reposted by
Alfred Luk
Ilan Schwartz
3 months ago
Accuracy of plasma cell-free DNA PCR for non-invasive diagnosis of mucormycosis
@jordan1990.bsky.social
and colleagues at Stanford
journals.asm.org/doi/10.1128/...
loading . . .
Accuracy of plasma cell-free DNA PCR for non-invasive diagnosis of mucormycosis | Journal of Clinical Microbiology
Mucormycosis is an invasive mold infection associated with high morbidity and mortality. Early diagnosis and effective antifungal treatment are critical for improving clinical outcomes. However, diagn...
https://journals.asm.org/doi/10.1128/jcm.00796-25
0
18
11
reposted by
Alfred Luk
Ilan Schwartz
2 months ago
Lack of Association Between Histoplasma Urine Antigen Values and Clinical Response in Persons without HIV Marisa Miceli and colleagues
academic.oup.com/ofid/advance...
loading . . .
Lack of Association Between Histoplasma Urine Antigen Values and Clinical Response in Persons without HIV
AbstractBackground. Histoplasma urine antigen detection, a valuable diagnostic tool, is often used to monitor response to antifungal therapy, but persisten
https://academic.oup.com/ofid/advance-article/doi/10.1093/ofid/ofaf448/8215534
2
11
7
reposted by
Alfred Luk
Ilan Schwartz
5 months ago
Outcomes of Invasive Aspergillosis in Liver Transplant Recipients From an Institution Using Targeted Antifungal Prophylaxis and an Antifungal Stewardship Program Duke TxID fellow Brennan Collis and co from Melbourne IA was uncommon, mortality low in LiTx
onlinelibrary.wiley.com/doi/10.1111/...
loading . . .
Outcomes of Invasive Aspergillosis in Liver Transplant Recipients From an Institution Using Targeted Antifungal Prophylaxis and an Antifungal Stewardship Program
Background Recent evidence suggests liver transplant recipients (LiTRs) with invasive aspergillosis (IA) have lower rates of dissemination and mortality compared to historical data. However, contemp...
https://onlinelibrary.wiley.com/doi/10.1111/tid.70046
0
9
1
Register @
cmvstream.com
add a skeleton here at some point
6 months ago
0
1
0
reposted by
Alfred Luk
Melissa Johnson
7 months ago
🍄🍄Happy to share the link to free full text version of our new article in press: Current Antifungals and the Developing Pipeline with the fantastic
@moorewjustin.bsky.social
.
#IDSky
#PharmSky
Thank you to the editors
@drluiso.bsky.social
@alukmd.bsky.social
& Dr. Helen Boucher for the opportunity.
1
11
7
reposted by
Alfred Luk
Nico Barros
7 months ago
Update on the Clinical Practice Guidelines for treatment of Histoplasmosis. Thank you to all the authors
@fungaldoc.bsky.social
@germhuntermd.bsky.social
@jobadd.bsky.social
@iddoc4kids.bsky.social
Nathan Bahr
www.idsociety.org/practice-gui...
loading . . .
Histoplasmosis (2025)
https://www.idsociety.org/practice-guideline/histoplasmosis-2025/
1
19
3
reposted by
Alfred Luk
Ilan Schwartz
7 months ago
Facts and myths about measles
@thelancetinfdis.bsky.social
@hoferu.bsky.social
www.thelancet.com/journals/lan...
loading . . .
Facts and myths about measles
It seems ironic that Robert F Kennedy Jr, one of the most prominent antivaccine activists, has been made Secretary of Health and Human Services in the USA while one of the largest recent measles outbr...
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(25)00164-1/fulltext
0
24
11
reposted by
Alfred Luk
Steven Pergam, MD, MPH
7 months ago
New upcoming seminar from TTS to address a growing concern in the immunocompromised community: Measles
tts.org/116-tts/educ...
0
6
1
Was an honor to work with
@drluiso.bsky.social
and all the amazing authors who contributed to this issue!
add a skeleton here at some point
7 months ago
0
0
0
reposted by
Alfred Luk
Ilan Schwartz
7 months ago
What’s at stake with proposed health research funding cuts? Good explainer by Lizzy Knippler, Community Engagement Coordinator at the Duke CFAR. Please share these graphics widely!
1
19
14
reposted by
Alfred Luk
Ilan Schwartz
8 months ago
I am deeply disappointed by the subdued response of the Infectious Diseases Society of America (
@idsainfo.bsky.social
) to the dismantling of public health structures, both in the US & globally Here's what I wrote in the closed listserv (response: 🦗) in hopes of stimulating discussion here
#IDSky
14
310
92
reposted by
Alfred Luk
Ilan Schwartz
8 months ago
Would global warming bring an increase of invertebrate-associated cutaneous invasive fungal infections? Kontoyiannis & Casadevall
journals.asm.org/doi/10.1128/...
1
19
7
reposted by
Alfred Luk
Mohanad Al-Obaidi
9 months ago
Great work by CDC (Mycotic Diseases Branch) and
@grthompsonmd.bsky.social
. Healthcare data analysis evaluating fluc efficacy on pulmonary
#coccidioidomycosis
in immunocompetent patients. Again, fluc is not effective.
#IDSky
#MedMyco
loading . . .
Impact of fluconazole on outcomes of patients with primary pulmonary coccidioidomycosis: a commercial health insurance claims-based, propensity score matched analysis
AbstractBackground. Patients with pulmonary coccidioidomycosis often experience prolonged symptoms lasting weeks to months. Limited data exist regarding wh
https://academic.oup.com/cid/advance-article-abstract/doi/10.1093/cid/ciaf036/7974716?redirectedFrom=fulltext#google_vignette
2
9
2
reposted by
Alfred Luk
Camille Nelson Kotton
10 months ago
The ACIP 2025 vaccine schedule for adults by medical condition (as well as age) is now available - with some great updates
www.cdc.gov/vaccines/hcp...
0
15
9
reposted by
Alfred Luk
Ilan Schwartz
9 months ago
Evaluation of Viracor Fungal Plus PCR Profile I @MSKCC "In our cohort, PCR targeting Mucorales and Nocardia can improve the early detection of invasive pulmonary infection, whereas Aspergillus PCR has a low added value"
@fungalspore.bsky.social
@ebabady.bsky.social
journals.asm.org/doi/10.1128/...
2
16
5
reposted by
Alfred Luk
Timothy Li
9 months ago
Summary of new antibiotic agents for the treatment of MDR Gram negative bacterial infections
doi.org/10.1016/S014...
#IDSky
4
29
15
reposted by
Alfred Luk
Ilan Schwartz
9 months ago
We know that in ART-naive patients with Cryptococcal meningitis, ART initiation should be delayed, but what about those already on ART? In this retrospective analysis, higher mortality observed w recent ART (<2 wks), and with ART continuation vs interruption
academic.oup.com/cid/advance-...
1
28
8
reposted by
Alfred Luk
Infectious Diseases Fellowship at Indiana University
9 months ago
#idboardreview
Pt pricked his thumb w/ wood splinter. 1 wk later, painless papule at injury site & over next weeks, tender lymphangitis developed. No improvement w/oral cephalexin or amox-clavulanate. No fever nor systemic sx, no travel/water exposure
#IDSky
#idmeded
#meded
#dermsky
1
15
2
reposted by
Alfred Luk
Ben Teh
9 months ago
Practice affirming results from our team
@victoriahall.bsky.social
@ncicancer.bsky.social
- No additional benefit from second influenza vaccine dose/adjuvant vaccines in non-HCT haematology patients.
#TxID
#IDsky
#medsky
www.nejm.org/doi/full/10....
loading . . .
Influenza Vaccination Strategies in Patients with Hematologic Cancer | NEJM
In this trial involving patients with hematologic cancers, the immune responses that were elicited were similar for adjuvanted-dose and standard-dose influenza vaccines.
https://www.nejm.org/doi/full/10.1056/NEJMc2406750
0
17
7
reposted by
Alfred Luk
Ilan Schwartz
9 months ago
Evaluation of two MALDI-TOF MS systems and extraction methods for identification of filamentous fungi recovered from clinical specimens Eric Ransom, Carey-Ann Burnham and colleagues
journals.asm.org/doi/10.1128/...
1
13
5
reposted by
Alfred Luk
Mohanad Al-Obaidi
9 months ago
Great paper to review and reference when encountering Mould fungemia (like Fusarium, Aspergillus, Mucor).
#MedMyc
#IDSky
#InfectiousDiseases
loading . . .
Epidemiology and Prognostic Factors Associated With Mold-Positive Blood Cultures: 10-Year Data From a French Prospective Surveillance Program (2012–2022)
Fusarium species were the most common cause of mold-related fungemia. Patients’ underlying conditions and clinical presentation differed between genera. Pu
https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciae594/7951295
1
11
4
reposted by
Alfred Luk
NEJM.org
9 months ago
From March through October 2024, a total of 46 human cases of highly pathogenic avian influenza A(H5N1) virus infections were identified in the United States, with 20 linked to poultry exposure and 25 to dairy cow exposure. Read the full article:
nej.md/3VU4R8I
#MedSky
#IDSky
loading . . .
Highly Pathogenic Avian Influenza A(H5N1) Virus Infections in Humans | NEJM
Highly pathogenic avian influenza A(H5N1) viruses have caused widespread infections in dairy cows and poultry in the United States, with sporadic human cases. We describe characteristics of human A...
https://nej.md/3VU4R8I
1
38
19
reposted by
Alfred Luk
TransplantID.Net - American Society of Transplantation
9 months ago
We want your opinions on
transplantid.net
— whether you've heard of it or not‼️ Plus, share your go-to resources for
#TxID
education. 🙏Pls take our quick anonymous survey (<10 min)🙏 Approved by
@astinfo.bsky.social
ID COP &
@einsteinmededu.bsky.social
IRB. Survey:
forms.gle/Lob4vpbgAJXA...
loading . . .
Full Library – TransplantID
http://transplantid.net
2
7
5
reposted by
Alfred Luk
Michael G. Ison, MD MS
9 months ago
It was an honor to write this contextualizing editorial with
@drjeannem.bsky.social
for the
@nejm.bsky.social
along with 2 important reports of recent human cases of influenza A(H5N1).
#H5N1
#IDSky
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
🧵1/3
loading . . .
The Emerging Threat of H5N1 to Human Health | NEJM
Highly pathogenic avian influenza (HPAI) A(H5N1) emerged in 1997.1 Since then, it has spread globally by migratory birds, resulting in infections in animals on every continent. HPAI A(H5N1) clade 2...
https://www.nejm.org/doi/full/10.1056/NEJMe2416323
2
70
34
reposted by
Alfred Luk
Andrew Karaba
9 months ago
Excited to share our article on RSV vaccine responses in immunocompromised patients published today in
@jama.com
. Many thanks to
@williamwerbel.bsky.social
and other co-authors for their hard work and support.
jamanetwork.com/journals/jam...
.
#IDsky
#TxID
.
loading . . .
Antibody Response to RSV Vaccination in Immunocompromised Persons
This prospective study investigates antibody response following respiratory syncytial virus vaccination in immunocompromised individuals.
https://jamanetwork.com/journals/jama/fullarticle/2828677?utm_campaign=articlePDF&utm_medium=articlePDFlink&utm_source=articlePDF&utm_content=jama.2024.25395
4
30
10
reposted by
Alfred Luk
Joseph Marcus
9 months ago
In today’s MMWR, largest blastomycosis outbreak in 🇺🇸: -162 cases in a single paper mill in Michigan (20% of all employees) -Primarily 🫁 symptoms -18 (12%) 🏥, 1 death -0 environmental samples of mill were PCR pos for blasto
#IDSky
www.cdc.gov/mmwr/volumes...
loading . . .
Outbreak of Blastomycosis Among Paper Mill Workers...
This report describes an outbreak of blastomycosis among workers at a paper mill in Michigan.
https://www.cdc.gov/mmwr/volumes/73/wr/mm735152a2.htm?s_cid=mm735152a2_e&ACSTrackingID=USCDC_921-DM141612&ACSTrackingLabel=This%20Week%20in%20MMWR%3A%20Vol.%2073%2C%20January%202%2C%202025&deliveryName=USCDC_921-DM141612
5
45
14
reposted by
Alfred Luk
Open Forum Infectious Diseases
9 months ago
Association Between the Need to Change Initial Antifungal Therapy and Treatment Costs in Patients with Invasive Aspergillosis ✅ Just Accepted
#IDSky
loading . . .
Association Between the Need to Change Initial Antifungal Therapy and Treatment Costs in Patients with Invasive Aspergillosis
Invasive aspergillosis (IA) accounts for nearly 9,000 hospitalizations annually in the US. Early initiation of antifungals in patients with or suspected of having IA is strongly recommended. Changing antifungal therapy due to treatment failure, adverse events, tolerability, or drug-drug interactions is common but associated costs are unclear.
https://buff.ly/406iC6B
0
3
2
reposted by
Alfred Luk
Ilan Schwartz
9 months ago
Mapping the Geographic Distribution of Dimorphic Mycoses Using a US Commercial Insurance Database
@julioczuniga1.bsky.social
@fungaldoc.bsky.social
academic.oup.com/ofid/advance...
More data to show that the geographic range of dimorphic fungal infections is much wider than taught in med school
6
106
39
reposted by
Alfred Luk
Joseph Sassine
9 months ago
Out now in
@thetxidjournal.bsky.social
! T-SPOT.TB is more likely to produce actionable results than QFT-TB in patients with cancer being screened for latent TB.
#TxID
#IDSky
onlinelibrary.wiley.com/doi/10.1111/...
1
26
11
reposted by
Alfred Luk
Camille Nelson Kotton
10 months ago
Thanks, Terese. Always good to remember this diagnosis - can be life-saving. Kudos to
@cesargberto.bsky.social
for astutely thinking of it.
add a skeleton here at some point
0
4
1
reposted by
Alfred Luk
Ilan Schwartz
10 months ago
How do infections of LVADs differ from those of CIEDs?
@s-chesdachai.bsky.social
, Larry Baddour, & Daniel DeSimone in
@cidjournal.bsky.social
Also, risk of CIED infection in 1st 6 months post implantation, whereas risk of LVAD infection doesn't wane with time
academic.oup.com/cid/advance-...
3
45
12
reposted by
Alfred Luk
Ilan Schwartz
10 months ago
Happy holidays! Got you something!
#IDSky
starter packs 1
go.bsky.app/LnAQjdq
2
go.bsky.app/JNfSvQT
3
go.bsky.app/FeogT7o
4
go.bsky.app/D1zxj4E
5
go.bsky.app/NgGSPeF
6
go.bsky.app/22VBL8z
7
go.bsky.app/Bf7denw
8
go.bsky.app/jnWLx1
9
go.bsky.app/9fQaSBa
10
go.bsky.app/5WBmsNq
11
go.bsky.app/DPPcD7H
loading . . .
8
112
32
reposted by
Alfred Luk
FungalDoc AKA Andrej Spec
10 months ago
When you get called by THE
@kottonnelson.bsky.social
to help discuss, you don't say "yes." You say, "Yes, please!" And you put some enthusiasm into it.
add a skeleton here at some point
0
15
6
reposted by
Alfred Luk
Ilan Schwartz
10 months ago
Time to Staphylococcus aureus blood culture positivity is a useful marker for infective endocarditis This retrospective cohort study of >1700 cases of SAB suggests that if TTP > 13 hrs, the patient is unlikely to have endocarditis (NPV 96%, 95%CI 95-97)
academic.oup.com/cid/advance-...
#IDSky
7
83
25
reposted by
Alfred Luk
Ilan Schwartz
10 months ago
Management, outcomes and predictors of mortality of Cryptococcus infection in patients without HIV: a multicentre study in 46 hospitals from Australia and New Zealand
academic.oup.com/cid/advance-...
#IDSky
#MedMycoSky
0
37
13
The 2 patients died from histoplasmosis. One had bats in his attic and collected the guano, the other just bought it online.
add a skeleton here at some point
10 months ago
0
0
0
Incredible. Very curious about the screening and prophylaxis protocol for this since she doesn’t live locally in NY. 🤞🏻
#TxID
@sapnamehtamd.bsky.social
loading . . .
A transplanted pig kidney offers a grandmother hope for life without dialysis
The patient was in kidney failure and her immune system would reject a human organ. Scientists hope genetically modified pig organs prove safe and will alleviate the organ shortage and save lives.
https://www.npr.org/sections/shots-health-news/2024/12/17/nx-s1-5203056/pig-kidney-transplant-gene-edited
10 months ago
1
4
1
reposted by
Alfred Luk
TxID Early Career Network
10 months ago
🔥Join us for our first
#TxIDChat
on Bluesky coming Thursday Dec 19th at 7:30pm EST/6:30pm CST. You can follow along on our profile, searching
#TxIDChat
, or using TxID Feed created by
@germhuntermd.bsky.social
(Profile -> Feeds -> TxID -> top right select Pin to add to your home screen)!
#IDSky
1
17
11
reposted by
Alfred Luk
Daniel Martin
over 1 year ago
I don't know who needs to know this, but Pro Publica has an online thing that will format a letter to your US health insurance company to demand the records behind a claim denial. (which the insurance is then legally required to provide in most cases)
projects.propublica.org/claimfile/
loading . . .
Find Out Why Health Insurance Denied Your Claim
You likely have the right to access records that explain why your insurer denied your claim or prior authorization request. Use ProPublica’s free tool to generate a letter requesting your claim file f...
https://projects.propublica.org/claimfile/
938
18075
10787
Louisiana leading the pack. 😓
add a skeleton here at some point
10 months ago
0
1
0
Transplant at Tulane is growing! We’re also starting a thoracic transplant program. Looking for an experienced transplant ID physician to join me and our team at @TulaneMedicine . DM for questions
apply.interfolio.com/157421
#TxID
#IDSky
@txidfellows.bsky.social
loading . . .
Apply - Interfolio {{$ctrl.$state.data.pageTitle}} - Apply - Interfolio
https://apply.interfolio.com/157421
11 months ago
0
31
18
reposted by
Alfred Luk
Transplant Infectious Disease Journal
11 months ago
Congratulations to
@nischalr3.bsky.social
and his team for their paper being selected as the
@thetxidjournal.bsky.social
2024 Bob Rubin Clinical Impact Awardee - this award selects the paper felt to have the biggest impact on clinical care in
#TxID
!
#IDSky
onlinelibrary.wiley.com/doi/10.1111/...
loading . . .
Evaluating antimicrobial duration for Gram‐negative bacteremia in patients with neutropenia due to hematologic malignancy or hematopoietic stem cell transplantation
In the management of immunocompromised patients with neutropenia and Gram-negative bloodstream infection, short antimicrobial courses (≤10 days) had comparable propensity score-adjusted 90-day outcom...
https://onlinelibrary.wiley.com/doi/10.1111/tid.14085
1
33
15
reposted by
Alfred Luk
Camille Nelson Kotton
11 months ago
The Transplantation Society will host a webinar on CMV immunodiagnostics and solid organ transplantation on December 4 at 9 AM Montreal time. I will be the moderator, with terrific speakers. Join us!
secure-web.cisco.com/11rBOuNx6aRI...
loading . . .
TTS-Qiagen Webinar - December 4, 2024
The Transplantation Society will provide the focus for global leadership in transplantation: development of the science and clinical practice, scientific communication, continuing education, guidance ...
http://secure-web.cisco.com/11rBOuNx6aRIkFVcGos3fpQW0bcgydU01eXVei0OE_OIXH-H2c35PscweGAZYtvMeZbcZPRYMS--b5y_HCSNKyENW3tLxOC9e0G8_UyQH_zUKBwSU2qqwfin-TCuAMSHrJLgB-JF9VhCZ9siCO1p3muSMeTFMNuefizU18fsD3k5CUi_zRcX8zshRvX6-f58GecbwZOiUwWIlSuVNQZSZLfevf8SUCAIgrkJC_IzgRuwoPvVxEWZQijykbE8WvBKYt6Isk7F9OPF2IprF9-VXNuUSchCVNM3mO0KhmlTf0FrksKQryOTFQP9c3pnYmIqj/http%3A%2F%2Fwww.tts.org%2Ftts-qiagen-december42024
0
21
10
reposted by
Alfred Luk
Steven Pergam, MD, MPH
11 months ago
New virtual meeting for Immunocompromised Host Society: Addressing the Landscape of CMV Management in Transplant Recipients. Free to members or $25 plus a free membership for those not already members! Forward on to your residents, fellows, grad students, and international colleagues
#TxID
#CMV
2
14
10
Wow thanks for laying the groundwork for us refugees
@germhuntermd.bsky.social
add a skeleton here at some point
11 months ago
1
3
0
Load more
feeds!
log in