~30 yo alcohol use disorder
Northern suburbs of Montreal 🇨🇦
➡️ Any idea why this pneumonia did not improve with PipTazo/Vanco and Meropenem ? (😉💥-to🍄)
#IDXposts #IDTwitter
#MicroRounds
Fighting Flesh Eating Bacteria? Check out this week’s KASIC pearl to learn about an Antimicrobial Stewardship Opportunity: Stopping Antibiotics in Necrotizing Fasciitis ➡️ tinyurl.com/ypb62tav
#IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter
Continue Antibiotics until Neutrophil Recovery? Hold up! Check out this week’s KASIC pearl to learn about an Antimicrobial Stewardship Opportunity: Discontinuing Antibiotics in Neutropenic Fever ➡️tinyurl.com/bdbur6we
#IDTwitter #IDXPosts #AntimicrobialResistance
#idboardreview 50 M RA on etanercept: Fever & purple nodules on arms x2wks. wbc30k 95%lymph, multiple sex partners, +fishing/camping, cleaned alley & scratched by rats, cats. Biopsy lobular endothelial cells w/vascular proliferation. dx? #medEd #idmedEd #idtwitter #idxposts
Interesting!
My gut response was shorter for C diff would not be okay, but look what they found… 🤔…
academic.oup.com/jac/advance-ar… #IDxPosts Brad Spellberg Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟
#IDTwitter #IDXposts A 69-years old man with diabetes was diagnosed with liver abscess which was drained 2 weeks ago, still on IV antibiotics (cefotaxime + metro, 5 weeks), afebrile 9d. Isolate is 👇🏻 How would you treat further? Brad Spellberg Todd C. Lee Gabe 🦊 Alice Han
Sepsis is a heterogeneous syndrome!
🆕️⚡️⚡️Large Retrospective study Annals of Int Med
There was a 30-fold variation in crude deaths depending on the primary site of infection , ranging from 1% (tick or vector-borne infec tions) to 33% (bacteremia) #idxposts
acpjournals.org/doi/10.7326/M2…
#IDTwitter #IDXposts Patient with bilateral nephrostoma with renal abscess. Isolate from urine (>100.000 CFU/mL). How would you treat? Dr. Lynora Saxinger MD FRCPC Infectious Diseases Sam Aitken Annette Hennigs Brad Spellberg Todd C. Lee Gabe 🦊 Alice Han Bug Pharmacist 💊🧫 Tim Gauthier 𝐒𝐮𝐦𝐨𝐧 𝐂𝐡𝐚𝐤𝐫𝐚𝐛𝐚𝐫𝐭𝐢 Tobias Hohl MD, PhD Timothy Li
#idboardreview 40 F who has well water in her home and works at daycare presents w/ greasy foul diarrhea w/ abd pain, bloating, flatulence and weight loss & fatigue. diagnosis? #idmeded #medEd #idxposts #idtwitter