Infectious Disease journal for everyday physicians. Written by practicing doctors with articles focusing on the most important topics of daily practice.
Joined April 2021
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Urine Legionella antigen detects only L. pneumophila serogroup 1, with sensitivity as low as ~5% for non-pneumophila species like L. micdadei. 🔍
A culture-negative case cracked by cell-free DNA 👇
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#IDTwitter
47F: days of headache + fever, unrevealing CT/MRI, two ED visits… then neck stiffness. CSF: nontypeable H. influenzae. 🧠🦠
New in @ppidjournal: adult H.flu meningitis in the post-Hib era + a stepwise post-diagnosis workup.
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#IDTwitter #MedTwitter
25+ years of evidence: ID consults save lives and money. So why is ID still underpaid? 🤔
A roadmap to fix it 👇
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#IDTwitter
When does HIV proviral DNA matter clinically? Learn when archived resistance patterns make a difference to your clinical practice and when you should look for them. 👇
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20 yo woman with PMH atopic dermatitis on dupilumab presents with 3 months of headaches, 3 wks of diplopia, blurred vision and CXR shows R sided pneumonia. CSF with OP 35, 2971 WBC (71% lymphs), protein 134, glucose neg. What is the diagnosis? ppidjournal.com/doi10-55636-…
Glucocorticoids are critical adjunctive strategies in combating infections. But when and where? A new PPID review lays out the evidence for adjunctive glucocorticoids across a variety of infections. Check it out here! ppidjournal.com/doi10-55636-…
66 yo woman w/ PMH RA on etanercept p/w 2 wk malaise, fevers, LUQ abdominal tenderness, splenomegaly with multiple subcentimeter hypodense splenic lesions with below labs. Prelim work up below. What is dx? Click here to find out 👉ppidjournal.com/doi10-55636-…
Secondary immunodeficiencies are far more common than primary ones. Check out this new review that covers the full etiologic spectrum (infection, malnutrition, malignancy, splenectomy, iatrogenic causes) and how to evaluate & manage at-risk patients
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80 yo man with PMH MDS (on azacitadine) p/w cough x 19 mo, CT chest shows mucus plugging, bronchiectasis and bronchitis shows allergic mucin, abundant eos and fungal hyphal elements. WBC 5.3, 37% eos (absolute 1961), IgE 1949. What is the diagnosis? ppidjournal.com/doi10-55636-…
👂 New case report: a 49-year-old with progressive hearing loss and tinnitus, initially chalked up to noise exposure - turned out to be late-onset otosyphilis.
Read why this rare, easily-missed diagnosis deserves a high index of suspicion. Check it out:
🔗 ppidjournal.com/doi10-55636-…
Now that the recent hantavirus outbreak aboard the MV Hondius appears to be over, it’s a good time to look back at what we know.
This review covers ANDV’s rare person-to-person spread, superspreader dynamics, & PPE guidance for clinicians.
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How do we solve our ID recruitment crisis? Dr. Kam Sidhwa’s new article shows private practices how to fix this: transparent pay, income diversification, and physician-led recruitment that sells culture, not just paperwork.
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# IDx West Nile, yellow fever are commonly associated with encephalitis, but did you know the neurotropic nature of other arboviruses, including dengue and chikungunya? New review of neurological complications of arboviral infections here: ppidjournal.com/doi10-55636-…
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#IDx A practical framework for CVID, IgG subclass deficiency, and specific antibody deficiency: how to tell them apart and manage each in adult patients with recurrent infections. ppidjournal.com/doi10-55636-…
#IDx What makes a private practice group successful? It starts with leadership, which is a skill, represented by a set of behaviors that must be actively and consistently performed. Read about the cornerstone qualities of what makes an effective leader. ppidjournal.com/doi10-55636-…
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#IDx 24 yo man p/w fevers, chills, facial and nasal swelling after scratching inside of his nose. Exam revealed nasal swelling, furuncles, erythema, periorbital swelling and proptosis. Blood cx w/ MSSA - persistently +, MRV with bilateral cavernous sinus thrombosis. How do you tx?
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#IDx 42 yo woman who presents with pelvic abscess 6 wks post TAH-BSO. Extension of abscess to adjacent bowel loops noted. What is the pathogen and how do you tx?
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Pt presents with 2 wk headaches, blurred vision, polyuria, polydipsia, Na 121. Found to have panhypopituitarism from mass involving pituitary gland. CT chest and skin lesion below. What is the diagnosis? ppidjournal.com/doi10-55636-…
What happens when a 79 year old woman wrestles a badger to protect her dog? What do you get from a badger bite? Read all about this fascinating case report here! ppidjournal.com/doi10-55636-…
Curbside consults are a daily reality in ID practice - but are we thinking carefully about the risk?
This article examines the clinical, ethical and legal dimensions of curbside consults and gives you practical strategies to minimize liability
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