i.vesga

MD and ID enthusiast. @Medicina_UdeA "Nothing is hard to believe, no one is hard to deceive".

[1-min ID consult @1min_IDconsult]

【Viruses and human cancers】
Let's note there are 8 viruses that cause human cancers!

Level: Intermediate
Importance: ★★★★★

#IDMedEd #IDFellow #CancerID @MDAndersonNews @HarrysTorres01 @ChemalyRoy @TakaMatsuo_ID

[Conrad Fischer @SeeFisch]

Cryptococcus is RESISTANT to all ECHINOCANDINS

Echinocandins work on the 1, 3 glucan linkage which is MISSING from Cryptococcus

[Timothy Li @drtimothyli]

Why shorter is better

"It's the same efficacy, but safer and with less selection for resistance."

"If you're going to give antibiotics to people who don't need them, at least do us the courtesy of doing it for a brief period of time."

@BradSpellberg

https://t.co/tIZuqWdBqK

[Todd C. Lee @DrToddLee]

A positive urinalysis is not a UTI. Please for the good of society can this be properly taught in all medical training programs?

[Timothy Li @drtimothyli]

Emerging resistance mechanisms to newer β-lactams in Pseudomonas aeruginosa

➡️Mutations of AmpC, OXA-2/10, KPC, GES
➡️Efflux pumps
➡️PBP mutations
➡️Iron transport systems
➡️Others mutations: large genomic deletions, activation of global regulators

https://t.co/HYmdw6Ektu

[Timothy Li @drtimothyli]

Summary of new antibiotic agents for the treatment of MDR Gram negative bacterial infections

https://t.co/ZzflIG9RtH

[i.vesga @ivvesga]

@BradSpellberg First read about this issue on Dr. Levy’s book “the antibiotic paradox”, definitely worth checking out

[i.vesga @ivvesga]

@mendietaalex1 @healingwavesup @BrownJHM Thick walled apical cavitation, inside: a faint well circumscribed lesion, perhaps air crescent sign (?)
Main ddx: Aspergiloma
Worth considering NTM co-inf

[i.vesga @ivvesga]

@id_matrix From what I’ve gathered it’s related to the outcome of the U.S elections, many felt that the platform was biased towards one candidate in addition to a recent change in the TOS, I’m still on the fence about blue sky

[i.vesga @ivvesga]

@MicheAllen13 Felicitaciones IMG, éxitos en el match 😁

[Jay "Thymocyte" Hwang @Path4People]

I like the palm 🤚 and soles 🦶

I like tropical ☀️ and subtropical regions

I can mimic acral lentiginous melanoma 😈

Who am I? 🤔

#dermpath #pathx #path4people #dermatology #fammed #pathology #pathagonia

[i.vesga @ivvesga]

@IhabFathiSulima Ulcerous lesion with clear delimitation, perhaps Pseudomonal ecthyma, scrub typhus or an early anthrax carbuncle?

[i.vesga @ivvesga]

@DrMedica_13 Doesn’t seem consistent with a VAD, maybe a carotid plaque embolization could cause the symptoms (?)

[Antonio Guerrero @guerreroespejo]

Brote de #fiebre #amarilla, en #Colombia: once nuevos casos de fiebre amarilla en el departamento del Tolima, de los cuales ocho ya han sido confirmados y han fallecido 3 personas

https://t.co/rm5gYiTtGp

[i.vesga @ivvesga]

@guerreroespejo Cabe resaltar que dentro del Programa Ampliado de Inmunización de Colombia la vacuna contra FA es mandatoria a partir del año incluso en departamentos de bajo riesgo, lastimosamente todas las entidades territoriales persisten sin alcanzar la meta de cobertura del 95%

[i.vesga @ivvesga]

@IhabFathiSulima Symmetrical hilar nodes and a slight paratracheal node, cutaneous lesions resembling erythema nodosum.l

Dx: Sarcoidosis

[i.vesga @ivvesga]

@BradSpellberg @DrToddLee Articles directed towards clinicians who skip directly to the *conclusions* part 🥴

[i.vesga @ivvesga]

@Sthanu5 Functional thyroglosic cyst, it’d be nice to see the patient swallow to confirm

[i.vesga @ivvesga]

@Sthanu5 Rasmussen aneurysm - massive hemoptysis in cavernous TB

[@X @MoreXGrok]

35-yr-old male pt with a past hx of tb of lung, which was treated earlier with ATT, had presented with a history of recurrent hemoptysis.

Had undergone bronchial artery embolization earlier at a different hospital

He, however, continued to have recurrent hemoptysis.

CT pulmonary angiogram👇

Thoughts?