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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 13h

The CT is suggestive of gelatinous pseudocyst of cryptococcal infection, associated vasogenic edema
Cryptococcal antigen in the serum & CSF➕
Blood, CSF & respiratory🧫: Cryptococcus neoformans

DISSEMINATED CRYPTOCOCCAL INFECTION in a RENAL TRASPLANT PATIENT
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#resident #medicine #microbiology

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 13h

55-y-o ♀️ renal #transplant 14 years prior: febrile, pneumonia, headache and #lethargy

#MRI: bubble-like, T2-hyperintense signal foci without diffusion restriction involving the bilateral basal ganglia, with mild vasogenic edema

A lumbar puncture: ⏫opening pressure
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doi.org/10.1503/cmaj...

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 1d

🧫 BACILLUS ANTHRACIS

Diagnosis: CUTANEOUS ANTHRAX by BACILLUS ANTHRACIS.

Key clues: sheep exposure, black eschar, rapid progression.

Differential: pustules, mycoses, ecthyma.
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#InfectiousDiseases #MedicalEd

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 1d

55-year-old male, painless skin lesion on finger, sheep farmer, 5 days' evolution: Exudate, central eschar, afebrile, otherwise healthy.

What’s the diagnosis?
dialnet.unirioja.es/descarga/art... DOI:10.5209/dialnet.8991409
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#MedCases #IDBlueSky

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 2d

Rectal and pharyngeal nucleic acid amplification testing: ➕ for Neisseria gonorrheae.

DISSEMINATED GONOCOCCAL INFECTION

#medicine #MedicalStudents #microbiology
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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 2d

A 27-YO man #HIV + , unprotected #sex with a male partner, receptive oral and anal intercourse: fever, rash over his chest, abdomen and extremities (a few scattered vesicular and pustular lesions were also found on his extremities), and tenosynovitis in his left wrist
½

DOI: doi.org/10.1503/cmaj...

Multiple, discrete, erythematous and raised skin lesions on the chest and abdomen

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 2d

#ID Alert!
🚨 Autochthonous #dengue and #chikungunya cases are rising in #Europe (France, Italy) due to the expanding Aedes #mosquito range.
Vector control & surveillance are crucial to prevent larger outbreaks.

🔗 Source: ECDC Weekly CDTR, Week 40/2025: www.ecdc.europa.eu/en/publicati...

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 3d

The National Center of Tropical Diseases (CENETROP) leads diagnostics via real-time PCR testing, with international support for sequencing and strain characterization. Preparations emphasize containment, surveillance, and capacity-building in endemic rural areas like La Paz.

Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 3d

The way Auel weaves Ayla’s struggle for survival grabs you emotionally. That emotional pull, the way you feel her isolation and defiance, overshadows the technical details. It’s less about the science for me, though Auel’s research into prehistoric life, grounds the world in a way that feels real.

Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 4d

Dive into the captivating world of Jean M. Auel's "The Clan Of The Cave Bear".
An epic tale of survival, love, and discovery in prehistoric times.
Ayla awaits for an unforgettable journey. Don't miss it! 🦴 #PrehistoricFiction #MustRead

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 20d

New Chapare virus cases in #Bolivia confirm person-to-person transmission.
Enhanced surveillance in endemic areas.

📖 Reference: CDC www.cdc.gov/chapare/abou...
#ChapareVirus #Epidemiology #PublicHealth

About Chapare Hemorrhagic Fever

Learn about Chapare hemorrhagic fever, where it occurs, how it spreads, and how to protect yourself

www.cdc.gov

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 20d

"The Valley of Horses" by Jean M. Auel: A gripping tale of Ayla, a joung prehistoric heroine battling survival in a harsh world. A novel blending adventure, resilience, and human connection in the age of Neanderthals. 🏹🐎 #HistoricalFiction #Prehistory

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 21d

A significant proportion of patients with #chikungunya fever develop rheumatoid #arthritis after infection with the virus, according to a recent meta-analysis (Trop Med Infect Dis 2025; 10[2]:54).
👇
DOI: 10.3390/tropicalmed10020054

Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 26d

Changing clinical and laboratory characteristics of Progressive Multifocal #Leukoencephalopathy: a retrospective national cohort study url: academic.oup.com/cid/article/...

Changing clinical and laboratory characteristics of Progressive Multifocal Leukoencephalopathy: a retrospective national cohort study

AbstractBackground. Progressive Multifocal Leukoencephalopathy (PML) is a severe demyelinating disease caused by JC polyomavirus (JCV), affecting immunocom

academic.oup.com

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 29d

Galicia's #gonorrhoea #vaccination programme - The Lancet Infectious Diseases

www.thelancet.com/journals/lan...

Galicia's gonorrhoea vaccination programme

We read with interest the Comment by Shamez N Ladhani and colleagues on the UK's gonorrhoea vaccination initiative.1 However, we wish to clarify that Galicia, Spain, became the first jurisdiction in t...

www.thelancet.com

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 29d

Global spread of clade Ib #mpox: a growing concern - The Lancet Microbe

www.thelancet.com/journals/lan...

Global spread of clade Ib mpox: a growing concern

The global spread of clade Ib mpox, as evidenced by travel-associated cases in Europe,1 the Americas,2,3 south Asia,3 and the Middle East,3 highlights its rapid international dissemination. Since Nove...

www.thelancet.com

Antonio Guerrero MD PhD @guerreroespejo.bsky.social · Aug 25

"#Measles is a nasty #virus which spreads very quickly in communities where many children and adults are unvaccinated with MMR, especially in nurseries and schools."

Healthcare-Global @healthcare-global.bsky.social · Aug 25

uk.news.yahoo.com/parents-urge...

Parents urged to vaccinate children as cases of infectious disease rise

Parents in the North West are being urged to ensure their children receive the MMR vaccine

uk.news.yahoo.com

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Reposted by Antonio Guerrero MD PhD

Healthcare-Global @healthcare-global.bsky.social · Aug 25

uk.news.yahoo.com/parents-urge...

Parents urged to vaccinate children as cases of infectious disease rise

Parents in the North West are being urged to ensure their children receive the MMR vaccine

uk.news.yahoo.com

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · Aug 25

Of course, feel free to ask! Just a quick note that I can’t provide personal medical advice over social media, but I’ll be happy to help in any other way I can.

Antonio Guerrero MD PhD @guerreroespejo.bsky.social · Aug 24

Good reasoning; in this case it was a suppurative parotitis caused by Staphylococcus aureus.

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · Aug 24

📖 Delve into #prehistory with the #novel "The Clan of the Cave Bear" by Auel.

Follow Ayla, a Cro-Magnon girl adopted by Neanderthals, as she struggles to survive and find her place in a hostile world.

A fascinating journey to the origins of humanity. 🐻✨

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · Aug 24

🧫 blood and secretion: Staphylococcus aureus

ACUTE SUPPURATIVE PAROTITIS CAUSED BY S. AUREUS
Pathognomonic: discharge of purulent material from the Stenson duct after compressing the gland

S. aureus is the usual pathogen, followed by streptococci & gram-negative bacilli.
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#medicine #pediatric

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · Aug 24

8-day-old newborn: fever, poorly defined right preauricular inflammation, erythematous, and whitish secretion in the right buccal mucosa.
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✍️AL Martínez de Morentin y col. @ContinuumAEP continuum.aeped.es
#Medicine #MedEd

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Reposted by Antonio Guerrero MD PhD

Outbreak News Today @outbreaknews.bsky.social · Aug 13

#Chikungunya #epidemic risk: A call to action
#podcast #vaccine
www.youtube.com/watch?v=0Ucp...

Chikungunya epidemic risk: A call to action

YouTube video by Outbreak News TV

www.youtube.com

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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · Aug 23

New advances for #drug-resistant #tuberculosis
Two phase 2b trials have identified sutezolid and delpazolid, as alternative oxazolidinones with strong antimicrobial activity that could be candidates to potentially replace linezolid in BPaL regimens.

www.thelancet.com/journals/lan...

New advances for drug-resistant tuberculosis

There are approximately 500 000 new cases of rifampicin-resistant or multidrug-resistant (RR/MDR) tuberculosis every year. In 2022, WHO recommended the all-oral bedaquiline, pretomanid, linezolid (BPa...

www.thelancet.com

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