#IDWeek2020
Session: Cutting edge adult&ped #TxID

First up, @BrianFisher95 on adenovirus and EBV #IDWeek2020
Session: Cutting edge adult&ped #TxID
@BrianFisher95

Adenovirus reactivation is more common in pediatric HCT pts, so age is significant risk factor

Chart with reactivation rates, mostly ped data 👇 Progression to sx dz in peds is not uncommon

#IDWeek2020
Session: Viral infections in Ped SOT
Starting with Sharon Chen #IDWeek2020
Session: Viral infections in Ped SOT
Sharon Chen

1) Thinking about CMV through a new lens

#IDWeek2020
So excited for challenging cases in #TxID !

Pearlie Chong @PergamIC @ShohamTxID @nikkitheomd @IDdoc4kids Kate Mullane #IDWeek2020
Session: Challenging Cases in #TxID
56 yo post-auto HSCT with fever, wt loss, scleral icterus. Labs with low WBC, anemia, elevated LFTs. Not neutropenic.

Check out the smear!

#IDWeek2020
Session: OPAT in PWID
@mmPharmD

Thinking about how PWID can be treated with OPAT at home #IDWeek2020
Session: OPAT in PWID
@mmPharmD

OPAT completion in PWID was comparable to those who do not inject drugs

Retrospective studies of carefully selected pts -- but that is also true of who you select in real life

#IDWeek2020
Session: Hospital infection control and environmental sustainability: challenges and opportunities!
@preets579

Infection prevention reality vs environmental sustainability - can we achieve a balance? #IDWeek2020
Session: Hospital IC: challenges and opportunities!
@preets579

Learned about life cycle assessments today!

Reusable gowns had 28% reduction in energy consumption, but data is variable - as in those that did note advantage to reusable laryngoscopes vs single use

#IDWeek2020
Session: Challenging Cases #PedsID

Some case thinking in a "COVID-free zone" #IDWeek2020
Session: Challenging Cases #PedsID

Cerebral toxoplasmosis in alloHCT pt

CSF cytology actually noted tachyzoites - great image!

#IDWeek2020
Now to watch Mano a Mano, always a great session!! @PIDSociety #IDWeek2020 #PedsID
Session: Mano a Mano
Should we tx + tracheal cultures?

Con: @asicksamuels
3 Reasons not to treat:
1. Positive cxs do not equal infection
2. Trach cxs are unreliable
3. Treated positive trach cxs do not equal improved outcomes
+
Risk patient harm from over-tx

#IDWeek2020
Session: Shattering the Glass Ceiling

@DrJeanneM

Know your roots and embrace your passions

Don't let someone tell you that you cannot do something, study something because it doesn't fit the mold

But not everyone gets the same encouragement #IDWeek2020
Session: Shattering the Glass Ceiling

@DrJeanneM

So how can we do this concretely?

#IDWeek2020
Session: Shattering the Glass Ceiling

@DrJRMarcelin
Starting from a place a gratitude! Something I should use too! @gradydoctor #IDWeek2020
Session: Shattering the Glass Ceiling

@DrJRMarcelin
Under-representation starts from way before UME/GME and encompasses more than just race, such as LGBQT and disability

#IDWeek2020
Session: Shattering the Glass Ceiling

@EmilyBlumbergMD discussing her story and how impactful sponsorship was to her advancement (especially from men) #IDWeek2020
Session: Shattering the Glass Ceiling

@EmilyBlumbergMD Sponsorship is often more difficult for early career women in medicine

1/
Was able to join @BIDMC_Medicine Blumgart Firm conf for a fascinating case I had! #IDTwitter #MedTwitter @BIDMC_IDFellows @WendyStead5

30M w/fever 103, chest tightness that radiates into R neck. CT chest demonstrated a large posterior mediastinal mass with associated LAD 👇 2/
🔻Goes for bronch/EBUS: frank pus when LNs aspirated. Strep anginosus grew from blood cx + LN tissue cx.

🔻Started on Unasyn with rapid improvement!

🔻Repeat CT chest after ~2 wks of therapy already with decrease to ½ the original size!!!

1/
Spent some time reviewing hypervirulent Klebsiella pneumoniae (hvKP)
#IDTwitter #MedTwitter #IDMedEd 2/
⭐️hvKP: first noted in 1986 in case reports from Taiwan

⭐️Can cause serious community acquired infection, often in younger, previously healthy pts

⭐️Metastatic tissue invasive disease is a defining feature / hallmark

👇Features differentiating hvKp/cKP