Case Report @thelancet.bsky.social ID Grand Rounds: Endocarditis of aortic/mitral valves and myocarditis due to syphilis! Discussion of cardiovascular syphilis history too Wasn't on my DDx for Cx neg IE! www.thelancet.com/journals/lan...

late 60s no comorbodites, with P. aeruginosa left knee periprosthetic joint infection. Few years ago had first L knee PJI with P. aeruginosa treated with DAIR and 6 weeks cefepime. Seem like recurrent infection, what surgical approach would you consider

New study in @cidjournal.bsky.social from France looking at molds (no yeast/dimorphics) found in blood cultures. n=80 isolates from 2012-2022 2/3rds were Fusarium, 10% Lomentospora, 5% Trichoderma, 5% Mucorales, 5% Aspergillus 70% Hematologic malignancies academic.oup.com/cid/advance-...

do you think we should routinely test Enterobacterales for the presence of ESBL or just base or treatment on ceftriaxone Resistance? How would you treat this UTI with bacteremia (assuming is TMP-SMX qnd FQ resistant)

If you have a large volume of PD patients, and you don’t do this, you will see fungal peritonitis It’s a 1B from @ispd1.bsky.social www.nephjc.com/news/ispd202... I can’t imagine the replies which say you need not 🤦🏽‍♂️ Also came up on the pod: www.nephjc.com/freelyfilter...

I tend not to but understand if people do it. Once patients get fungal peritonitis the nephrologists tend to remove the catheter and put them on HD which can have a big impact on QoL.

I really didn’t know heteroresistance in staph aureus was also a thing. But the lab is supposed to report as R if mec A gene found. pmc.ncbi.nlm.nih.gov/articles/PMC...

how would you treat and ICD infection with lead and valvular vegetation that grew Staph aureus mecA gene positive per Biofire but Oxacillin susceptible per routine blood culture? Would you treat as MSSA with cefazolin or as MRSA with Vanco or Dapto ?

Its imperfect data. But its some data and it suggests benefit. 5% absolute reduction in the RCT. I consider this to be a fairly low risk, high reward intervention. Short courses of fluc are generally well tolerated and there is evidence of benefit that's better than many things we do in ID

I usually follow the kidney society guidelines for PD peritonitis, which does recommend it. There is some evidence to support its use, albeit not the highest quality: Cochrane Review: pmc.ncbi.nlm.nih.gov/articles/PMC... SR/MA: www.sciencedirect.com/science/arti...

if you have a patient with peritoneal dialysis catheter related peritonitis and you decide to treat with PO and/or intraperitoneal antibiotics, do you routinely recommend fluconazole prophylaxis?

The Four Moments of Antibiotic Decision Making Random image #idsky #medsky #AMSsky

🆕 #Breakpoints Episode: Drs. @annegretemartson.bsky.social, Megan Wimmer, and Evan Clemens join me to discuss all things (Val)ganciclovir!!! #idsky #pharmsky #amssky @sidpharm.bsky.social 🎧 sidp.pinecast.co

"If you’re going to give antibiotics to patients who don’t need them, at least do the courtesy of giving them for a brief period of time." #IDQuotes @bradspellberg.bsky.social #idsky #medsky #AMSsky #utisky

The ‘Big Five’ carbapenemases: 1️⃣VIM 2️⃣IMP 3️⃣NDM 4️⃣KPC 5️⃣OXA-48 🌟Timeline representing the introduction of carbapenems & the appearance of carbapenemases worldwide. 🌟 #idsky #medsky #microsky

Inaugural article in a new section in @cidjournal.bsky.social called “Clinical Dilemmas in Infectious Diseases” led by IDMedEd superstars Daniel Minter and Varun Phadke designed to teach clinical reasoning Rewriting the Script academic.oup.com/cid/advance-... #IDSky

Harper's Bazaar, November 1933, by Romain de Tirtoff aka Erté

#IDsky I’m currently going through my old twitter feed to find old posts I liked to find out who’s missing from 🦋 LBaddour Javier Villafuerte IDdocAdi Marc Scheetz German Esparza Jason Pogue Hemi Sulaiman Brad Spellberg Sumon Chakrabati Zain Chagla Jose Montoya Lance Burkhart Jake Scott Laura Marks

🆕🔥"Is Antibiotic De-Escalation Safe and Beneficial to Patients with Sepsis?" Our new article is out today: 👇 #IDSky #MedSky #PCCSky #ICUSky #emimcc #Ansky #EMSky #AMSSky #TxID #meded #Pharmsky #RXSky @unmc.bsky.social @unmccom.bsky.social ⬇️ bit.ly/4g7bGLE

2025 CDC Adult Immunization Schedule 💉 www.cdc.gov/vaccines/hcp/imz-schedules/adult-age.html #VaccinesWork #IDSky #MedSky #immunization

Amazing news! HHS has determined that clinical research is no longer required for donors with HIV to donate their kidneys and livers for transplantation in the United States! Thank you to all the HOPE in Action teams and all the advocates for our patients! www.federalregister.gov/documents/20...

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

Marc Chagall - "La Tour Eiffel", 1910

Biomaterials friends, does anyone have recommendations for where to get PTFE molds made? I’m looking to make a set for ISO 5833.

📢 Brand new ID faculty position just posted @fredhutch.bsky.social in Seattle. Join our ID group that studies infections in immunocompromised hosts. The Emerald city has great academics, phenomenal facilities, outstanding collaborators - all in amazing surroundings. apply.interfolio.com/159913

Tsuchiya Kôitsu, Snow on the Ukimido at Katada, 1934

Miyamoto no Musashi Attacking the Giant Whale by Utagawa Kuniyoshi, 1847

Received my grant feedback from @niaidnews.bsky.social this week. Humbling to say the least, but not going to give up and push forward for a resubmission…because people with #NTMs need to have more research done in these infections. 😮

Art by Guilherme Balbi Colors by Ren Spiller #xmen

@dralicehan.bsky.social Toyohara Kunichika, A couple in Winter, 1875 - 1899 - youtu.be/Jz_qrQkpwN8?...

The prolonged treatment recommended for nocardiosis does not rely on strong evidence!🆕️✨️Multi-center retrospective cohort study Shorter vs. standard-duration antibiotic therapy for nocardiosis #idsky #medsky link.springer.com/article/10.1...

Infection Prevention People! I’m looking for you! IPSky #IPSKy IDSky #IDSky go.bsky.app/MdRkmpi

Oral cephalosporins for pyelonephritis?! 🆕️⚡️⚡️COPY-ED Multicenter, retrospective study N=851 No difference in 14-day pyelonephritis treatment failure for oral cephalosporins* vs FQ/TMP-SMX for outpatient pyelonephritis in the ED #idsky #medsky * Mostly cephalexin www.sciencedirect.com/science/arti...

academic.oup.com/ofid/advance... Gave a read to this new article on #meded and #planetaryhealth. Couldn't find the lead authors here on bluesky. If you know please tag. Great job! #IDsky #climatechange

Vanity Fair Magazine Cover: February 1926 Artist: Anne Harriet Fish

1. What ICD 10 code dominates your #IDSky life? @sebpoule.bsky.social @drtoddlee.bsky.social @absteward.bsky.social @idvilchez.bsky.social @idjclub.bsky.social @idiots-pod.bsky.social @dralicehan.bsky.social (for our international friends, there’s a “I” in there for a reason ;-) )

Willi's Wine Bar (1935) by A.M. Cassandre

First autochthonous transmission of dengue 🦟 in 2024 just reported in Texas 102 travel related cases 1 death Most cases since 2002 #IDSky dshs.state.tx.us/news-alerts/...

pubmed.ncbi.nlm.nih.gov/39365895/ fish skin graft? First time I hear about this...

#IDsky Bless the participants who decided to take part in this study and be subjected to 100s of 🦟 bites 🧵 www.nejm.org/doi/full/10....

Maybe the patient was on rifaximin given liver failure for PSC, s/p SOT @steventong.bsky.social #IDSky 👇 www.nature.com/articles/s41...

George Barbier 🇫🇷 (1882-1932) " L'Hiver " (Winter) , 1925