Discover and read the best of Twitter Threads about #IDTweetorial

Most recents (2)

1/
Thank you all for the enthusiasm! #WeAreID #IDTwitter #IDfellows

#IDTweetorial
36F w/ fever for 6 days after the day of returning from Manzini, Eswatini. Stayed there 15 days, visited rural fields. Also, weakness, myalgia, night sweats, sore throat

What is your approach?
2/
Many approaches possible.

Check out this amazing tweetorial by @BoggildLab


1⃣ Common things being common: In addition to RTI, gastroenteritis, SSTI, UTI/STI, DO NOT want to miss: MDRT (malaria, dengue, rickettsial infections, typhoid fever)
3/
Or this great video tutorial by @EvelynSongMD and @CPSolvers

clinicalproblemsolving.com/%20dx-schema-f…

2⃣Beware of transmissible infections➡️infection prevention: Ebola, Marburg, Lassa, TB, MERS, SARS, Influenza
Read 13 tweets
1/
First #IDtweetorial

65M w/persistent MRSA bacteremia on day 4 of Vancomycin. Last Vanc trough 18.7. MRSA is Vanco Susc.
Primary team asking to change therapy.

What would you do? (Poll)

Let’s review some of the evidence to guide our decision
#IDTwitter #IDfellows
2/
First, what is considered persistent bacteremia?
In a frequently cited study, bacteremia in pts w/MRSA IE lasted a median of 7d w/Vanco, w/ no unusual complications
This led to believe that slow clearance was usual for some cases of MRSA IE
bit.ly/2PDQ4wl
3/
However, recent studies have shown significant increased risk in mortality and metastatic complications after 3 days of bacteremia.
bit.ly/31D7bnJ
Read 13 tweets

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