Stay tuned as our innovative team @UCLA_Pathology @UCLA_ID continues to explore the many advantages of routine pathogen sequencing in the clinical microbiology laboratory! (6/6)
The latest from our Molecular Microbiology and Pathogen Genomics lab here at @dgsomucla is now out in @Micro_MDPI@MDPIOpenAccess. (1/6) https://t.co/C9kWVUEVbf
SNP distance analysis revealed that the closest link between any two isolates was 96 SNPs, far greater than the 10 SNP threshold indicating transmission within the last two years. Bottom line: no evidence of local MTB transmission within our patient population. (5/6)
We hypothesize that mechanisms of antimicrobial resistance may vary across subspecies, and we hope to continue this work by using WGS to study MAC subspecies-resistance dynamics. Stay tuned! (4/4)
Excited to share some of my latest work with the UCLA clinical micro lab genomics team using WGS to identify Mycobacterium avium complex (MAC) subspecies using whole genome sequencing. (1/4)
https://t.co/xKN3OeViPW
While MAC can infect many tissues, we show that M. avium subsp. homonissuis is the most commonly isolated subspecies from the lower respiratory tract while M. intracellulare subsp. chimaera is most often found in soft tissue wound infections. (3/4)
Day 5 prenatal counseling edition. No soft cheeses in pregnancy due to Listeria risk is incomplete. Evidence says that melons and hummus are high risk foods to be avoided and locally prepared foods (delis and such) are higher risk for outbreaks.
Day 2: Endometritis should be considered in ddx of abdominal pain. Risk factors include any opening of cervix and rupture of membranes including recent menstrual bleeding, miscarriage, and vaginal delivery. More peds/obgyn learning moments on the way…
IM Day 16: EPO (erythropoietin) is contraindicated in patients with anemia and active malignancy because it potentially accelerates tumor growth and jeopardizes survival.
IM Day 15: In an immunocompromised host, normally harmless organisms can cause serious damage. Among them is Strongyloides, a roundworm that can cause a life threatening infection. In the US it is most commonly seen in immigrant populations.
And it can produce blood cells and regrow after trauma and other really cool immunology stuff. Often removed after MVA trauma due to bleeding risk, yet people often live normal happy healthy lives without a spleen.
IM Day 14: Had a patient with new afib, multiple lacunar infarcts, and splenic hematoma thought to be also due to an embolus. This gives me a chance to talk about my favorite organ: the spleen!
Hematologic role: in charge of ‘quality control’ of blood cell lines. Gets rid of old, damaged, deformed cells and fascinatingly can actually make blood cells when your bone marrow isn’t working well.