Discover and read the best of Twitter Threads about #Mucor

Most recents (5)

#fungi ..
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus 🍄 .. 🤔 .. 1/n
#fungi ..
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus 🍄 .. 🤔 .. 2/n…
#fungi ..
#Mucor on bread 🍞 ..
Left for at least 6 days, for a full spectrum to appear.. and seems may not just be Mucor, but others like #Aspergillus , #Penicillium , #Fusarium or #Rhizopus 🍄 .. 🤔 .. 3/n
Read 4 tweets
After top 100 updates we will put the top 120 updates , we will start with a thread of top 100 & then move along .
It is a concerning since we may end up seeing either multiple pandemics together or relay race as new organisms try jump into humans ctd)
101/n Whie people like all of us were fighting #Covid , #Hepatitis in kids we all missed how 1284 people got #monkeypox with lethality of 4.5 % ctd)
102/n Interesting paper on efficacy of soaps shows that 1 min hand washing to be effective in cell free virus but not as much in intracellular virus…
Read 21 tweets
Everyone's talking about steroids, high Glucose, oxygen, unhygienic conditions etc for #Mucormycosis. But the real talking point should be #coronavirus. Steroids use in India in rampant. During the chikungunya epidemic I saw many patients with high Glucose due to steroids but 1/
None had #mucormycosis. Use of tap water for o2 therapy is common in India but no reports of #mucor before this pandemic!
It's the #coronavirus infection which is causing immune dysfunction, lymphopenia, high ferritin, endothelitis which is favoring #mucor. 2/
It's the combination of the above risk factors in COVID that is causing #Mucor.
Preventing the Covid infection is the best option we have.
Please wear MASK & take VACCINE.
Read 4 tweets
So there are a lot of people asking about the risk factors for #mucor post #covid.

The biggest risk factor isn't the steroid itself, it's the hyperglycemia that it causes. If the sugars are well controlled using insulin the risk is almost negligible. So STOP freaking out !!
The 2nd major risk factor is prolonged NEUTROPENIA but that's a problem in our #Hematology patient population and not in #covid patients, so we can safely ignore that for now.
Bring us back to hyperglycemia due to steroids. The sure shot way to prevent it is frequent monitoring of sugar levels and NOT self medicating with steroids. Steroids anyway don't have any benefit if one isn't hypoxic so don't use it because ur aunt/uncle/friend used it.
Read 6 tweets
On day 14 of neutropenia, an astute ID fellow noted this finding (photo) while examining a patient with fever. Underlying AML and ongoing chemotherapy.

What do you suspect? What work up do you suggest? Details and #MayoIDQ MCQ to follow...
65M acute myeloid leukemia. Rx: CLAG-M. Prophy ACV, posaconazole, Levo, inhaled pentamidine

D14 neutropenia: fever / chills
Exam: onychomycosis, rapidly evolving lesions in arms and torso (photo)

You asked for skin biopsy. Blood culture will grow what fungus?
Case diagnosis: disseminated fusariosis

Majority got the diagnosis correctly!
Blood culture: Fusarium sp.

Rx: AmBisome / voriconazole
Hope for neutrophil recovery!!!
Read 12 tweets

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