Oral antimicrobials may be under-utilized for osteoarticular infections!
A Retrospective Study across 8 Medical Centers
109/145(75%) were eligible for oral antimicrobial therapy,but only 18 received it:5/39(13%) in 2018 Vs 13/70(19%) in 2019-20 #IDTwitter https://t.co/Pi7A4sXlAr
Prosthetic valve endocarditis with E. faecalis which grew in blood and on valve cultures after surgery. Also blood one time positive with VRE (faecium). Would you treat with Amp/Ctx + Dapto vs. Amp/Ctx + Linezolid or Dapto alone? #IDtwitter
@jdszumowski@BradSpellberg Yes definitely. The team asking the question usually discusses the case with the fellow first. If more clarification/formal consultation is warranted, then discussion on Teams ensues.
History will remember Ukraine, like the 300 at Thermopylae, the 1776 Revolutionaries in America, or the Brits in 39-41. Churchill said “Nations that go down fighting rise again, but those who surrender tamely are finished.” Ukraine is showing the world what true heroism is.
Rather than attacking and lobbing baseless charges at physicians, our leaders should be following the science and urging adherence to the public health steps we know work towards reducing the spread of #COVID19—wash hands, #MaskUp and physical distance. https://t.co/w2FktcLh2Q
DO physicians, in addition to extra training in the musculoskeletal system, undergo the same vigorous training over 11 years as their MD counterparts through undergrad, medical school, internship, residency and take the same board exams to become practicing physicians in the US.
@KaiserIMRounds It looks like a thrombotic microangiopathy. Likely HUS especially if there is a history of diarrhea but cannot rule out TTP completely. Patient should undergo urgent plasmapheresis and a course of steroids.