Christina Coyle, MD

Professor of Medicine @EinsteinMed, ID doctor at Jacobi Medical Center. Passionate about #TropMed and #ImmigrantHealth.

[Christina Coyle, MD @Coyle_CM]

@ESCMID @CIDJournal @PaulSaxMD

[Christina Coyle, MD @Coyle_CM]

Great to hear the Top papers in Tropical Medicine talk by Dr Martin Montes at @ESCMID; thrilled that 2 papers from @CIDJournal were chosen. https://t.co/1eoAofycic https://t.co/WRnmZtZjCl

@PaulSaxMD

[Christina Coyle, MD @Coyle_CM]

Join us virtually to hear about Chagas disease by renowned experts. If you are a healthcare provider, you can register for free one day only!

Please click the link below to register by Thursday, April 11th at 5:00pm EST.

https://t.co/1zX47i1AgK

[Christina Coyle, MD @Coyle_CM]

@SalihDemirhanMD @Columbia @MIDGordon @PriyaNori Congratulations!!! Well deserved. Great presentation of your work.

[Christina Coyle, MD @Coyle_CM]

@clare_thromycin It was a pleasure to join the terrific group of MD's in Delaware! Thank you.

[Christina Coyle, MD @Coyle_CM]

@nellbell_e @tmhohl71 The host immune response is amazing....

[Christina Coyle, MD @Coyle_CM]

I am back for more discussion #Tropmed schisto case ..yes, @tmhohl71 and others are right! Give praziquantel and get an US.

Bladder US with focal nodular thickening. Ureters are ok. I will be sending you a quiz on what do next. (1/2)

[Christina Coyle, MD @Coyle_CM]

Now lab results from case below and the urine for O& P... What are your next steps in management of this patient? (2/2)

[Christina Coyle, MD @Coyle_CM]

Ok.. we have a 10 year old with urinary schistosomiasis (eggs in urine), abdominal pain and a bladder US showing nodular thickening of the bladder. You gave praziquantel.... next steps? Let's vote (2/2)

[Christina Coyle, MD @Coyle_CM]

Hey #IDTwitter. . some comments on our #Tropmed case ...On further questioning he noted hematuria and abdominal pain for a year. Work up for eosinophilia in returning migrant with eosinophilia from West Africa outlined here ... Thanks for all your feedback! (1/2)

[Christina Coyle, MD @Coyle_CM]

Hey #IDTwitter #MedTwitter another #TropMed case to unravel:

A 10-year-old migrated from Mali 4 months ago c/o abdominal pain. No fever or diarrhea.

WBC 9K 25% eos. Hg and Plt WNL. Chemistries normal.

PE: lower abdominal pain.

Next on your work up?

[Christina Coyle, MD @Coyle_CM]

Now lab results from case below and the urine for O& P... What are your next steps in management of this patient? (2/2)

[Christina Coyle, MD @Coyle_CM]

Hey #IDTwitter #MedTwitter another #TropMed case to unravel:

A 10-year-old migrated from Mali 4 months ago c/o abdominal pain. No fever or diarrhea.

WBC 9K 25% eos. Hg and Plt WNL. Chemistries normal.

PE: lower abdominal pain.

Next on your work up?

[Christina Coyle, MD @Coyle_CM]

@DolceLaurie Thanks! Great article. Love it.

[Christina Coyle, MD @Coyle_CM]

Hey #IDTwitter #MedTwitter another #TropMed case to unravel:

A 10-year-old migrated from Mali 4 months ago c/o abdominal pain. No fever or diarrhea.

WBC 9K 25% eos. Hg and Plt WNL. Chemistries normal.

PE: lower abdominal pain.

Next on your work up?

[Christina Coyle, MD @Coyle_CM]

@tmhohl71 @coyle Love this Tobias!
Thanks for great article by Elise O'Connell and Tom Nutman from NIH... Will refer to in my discussion!!
Answer tonight!

[Christina Coyle, MD @Coyle_CM]

Check out this terrific work on malaria retinopathy.. Turns out our eyes are a window not only to the soul, but the brain in severe malaria @ttmalawi

[Terrie Taylor @ttmalawi]

Nice write up of Bo Zhang’s work with retinopathy; being able to diagnose through the ‘windows to the soul’ is a game-changer. https://t.co/h9Iempa0dP

[Paul Sax @PaulSaxMD]

Hey #IDTwitter, especially those out there doing clinical research: Excited that @CIDJournal now offers format free submissions.

Another big change coming soon -- stay tuned!
https://t.co/N6h6ryGIy1

[Christina Coyle, MD @Coyle_CM]

Here is a terrific article on the topic by Nash et al.

https://t.co/ejcBrpscrl

[Christina Coyle, MD @Coyle_CM]

Back for tweetorial on NCC case #TropMed. The answer is...Steroids alone!!

https://t.co/l6VwDxZ7xq

[Christina Coyle, MD @Coyle_CM]

How would you manage this patient?

@swinndong @febrilepodcast @DocWoc71 @JillWeather @EvaClarkMD

[Christina Coyle, MD @Coyle_CM]

Let's look at clues on MRI, as calcified lesions with perilesional edema commonly get mistaken for a degenerating cyst.

Remember they are always enhancing on T1 post gad!

A useful sequence is SWI: Calcified lesions look black. This is your stand in for a CT scan. Take a look:

[Christina Coyle, MD @Coyle_CM]

How would you manage this patient?

@swinndong @febrilepodcast @DocWoc71 @JillWeather @EvaClarkMD

[Christina Coyle, MD @Coyle_CM]

New #TropMed case of Neurocysticercosis (NCC) following our Febrile Episode @CesarGBerto
A 53 year old male from rural Mexico presents with R sided weakness resulting in a fall.
On exam: R hemiparesis- NCC Western blot +.
Previously told he had a "brain" parasite.

MRI showed: