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James Wilson

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by James Wilson

jameswilsondo.bsky.social
Re: #PLSF
#medsky #idsky

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by James Wilson

jameswilsondo.bsky.social
@accpchest.bsky.social #idcrit

Cool. Can we skip fellowship now? Just apprentice as physicians? Why do ANY medical training AT ALL?!

What is this assault on physicians? Be willing to staff appropriately. Let an IM or FP or EM PHYSICIAN take a bronch course and cover the ICU before an NPP!!

by James Wilson

jameswilsondo.bsky.social
@idvilchez.bsky.social @bradspellberg.bsky.social @pulmcrit.bsky.social @mbrigmon.bsky.social @fungaldoc.bsky.social @boghuma.bsky.social @dralicehan.bsky.social @vipsmdmed.bsky.social @drtoddlee.bsky.social

#idsky #medsky #pulmsky #criticalcare #FOAMed #FOAMcc #FOAMid #FOAMim #melioidosis
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by James Wilson

jameswilsondo.bsky.social
Reviews on Melioidosis:
pubmed.ncbi.nlm.nih.gov/22057702/

pubmed.ncbi.nlm.nih.gov/31129946/

pubmed.ncbi.nlm.nih.gov/32161067/

9/x
Clinical features and epidemiology of melioidosis pneumonia: results from a 21-year study and review of the literature - PubMed
Melioidosis pneumonia is often a rapidly progressive illness with high mortality, particularly among those with multilobar disease. Risk factors have been identified, and early diagnosis and treatment...
pubmed.ncbi.nlm.nih.gov
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by James Wilson

jameswilsondo.bsky.social
US outbreak:

pubmed.ncbi.nlm.nih.gov/35235727/

8/x
Multistate Outbreak of Melioidosis Associated with Imported Aromatherapy Spray - PubMed
Melioidosis, caused by the bacterium <i>Burkholderia pseudomallei,</i> is an uncommon infection that is typically associated with exposure to soil and water in tropical and subtropical environments. I...
pubmed.ncbi.nlm.nih.gov
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by James Wilson

jameswilsondo.bsky.social
Plan to continue the Doxy for three months. Bactrim is generally more noted as primary with Doxy as alternative therapy for eradication, the taxes are much more benign, chronic drug than Bactrim.

7/x
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by James Wilson

jameswilsondo.bsky.social
Ceftazidime may work for uncomplicated pneumonia, would recommend Merrem plus Doxy if concern for shock with AMS to get better CNS penetration.

6/x
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by James Wilson

jameswilsondo.bsky.social
So from that standpoint, take it with a grain of salt. But I would be concerned if you start seeing a typical pneumonia that are not responding to our typical CAP/HAP coverage.

5/x
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by James Wilson

jameswilsondo.bsky.social
If so, throw on your BDLS hats and notify those responsible in your chain. I’d be most concerned, obviously for Texas at this moment. I am not and have never been, however, a disaster response physician, or Director.

4/x
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by James Wilson

jameswilsondo.bsky.social
I bring this up so that everyone has their radar up for typical pneumonia if they suddenly show up in a cluster.

3/x
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by James Wilson

jameswilsondo.bsky.social
Yes, #melioidosis can be used as a bioterrorism option. But as I mentioned in the text messages, there was one or a small number of cases from the Midwest (Ohio?) a few years back (2021?) linked to an essential oils product out of Walmart imported from Southeast Asia.

2/x
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by James Wilson

jameswilsondo.bsky.social
Hello physician community. And especially our emergency, infectious diseases, pulmonary docs.

Had a friend reach out about a case in Texas of Melioidosis (Burkholderia pseudomallei) in a patient without a travel history.

#idcrit #idsky #Pulmsky #EMsky #emcrit #pulmcrit #bioterrorism

1/x
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by James Wilson

jameswilsondo.bsky.social
SCARY
cidjournal.bsky.social
Clinical Infectious Diseases @cidjournal.bsky.social · Aug 8
Medical cannabis as the source of Cryptococcus neoformans infection

✅ Just Accepted
⭐ Editor's Choice
#IDSky
Medical cannabis as the source of Cryptococcus neoformans infection
This is the first study to definitively link an infection to a pathogen in medical cannabis used by the patient.
academic.oup.com
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by James Wilson

jameswilsondo.bsky.social
Sometimes you just gotta suck it up and get flucytosine, or, if you’re feeling spicy, just give fluconazole

#idsky #medsky @idvilchez.bsky.social @bradspellberg.bsky.social @mbrigmon.bsky.social
pulmcrit.bsky.social
josh farkas 💊 @pulmcrit.bsky.social · Aug 8
Flucytosine dosing in cryptococcal meningitis:

FLOOR trial = single-arm trial evaluating reduced flucytosine dosing (60 mg/kg in 3 divided doses x10d)

Outcomes were inferior compared to historical data using standard dosing (100 mg/kg in 4 divided doses x14d)

We're stuck with full dosing #IDsky
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Reposted by: James Wilson

pulmcrit.bsky.social
Flucytosine dosing in cryptococcal meningitis:

FLOOR trial = single-arm trial evaluating reduced flucytosine dosing (60 mg/kg in 3 divided doses x10d)

Outcomes were inferior compared to historical data using standard dosing (100 mg/kg in 4 divided doses x14d)

We're stuck with full dosing #IDsky
1 5 14

Reposted by: James Wilson

cidjournal.bsky.social
Medical cannabis as the source of Cryptococcus neoformans infection

✅ Just Accepted
⭐ Editor's Choice
#IDSky
Medical cannabis as the source of Cryptococcus neoformans infection
This is the first study to definitively link an infection to a pathogen in medical cannabis used by the patient.
academic.oup.com
4 12

by James Wilson

jameswilsondo.bsky.social
@mbrigmon.bsky.social @idvilchez.bsky.social @dralicehan.bsky.social @wwrighid.bsky.social @idiots-pod.bsky.social @fungaldoc.bsky.social

by James Wilson

jameswilsondo.bsky.social
RE:CLABSI
Do we believe it to be sufficient in a critically ill patient on escalating pressors with intestinal/mesenteric ischemia to claim bacteremia in the setting of a necessary central line as a #CLABSI?
#idsky #medsky #criticalcare #idcrit @bradspellberg.bsky.social @pulmcrit.bsky.social
4 1

Reposted by: James Wilson

boghuma.bsky.social
10 days being active on #bluesky
- I've connected with 90% of the infectious disease community I used to follow on X
- Found new amazing accounts to follow.
- Gotten real engagement and useful discussions
- Connected with a grant writer for a non profit project.
All this to say, I LOVE IT HERE!
a man in a suit is holding a glass in front of a sign that says " sistas "
ALT: a man in a suit is holding a glass in front of a sign that says " sistas "
media.tenor.com
8 10 220

Reposted by: James Wilson

boghuma.bsky.social
The post Thanksgiving surge has arrived, ERs are quite full.
Heart failure, COPD, diabetes exacerbations, and respiratory virus infections after all that indoor time dining with the family. If you haven't already, now is an excellent time to get your flu shot, rsv, and covid shots if eligible.
1 20 100

Reposted by: James Wilson

helenbranswell.bsky.social
1. #Flu activity in the US is really starting to pick up — just in time for the multi-generational gatherings at Christmas, Hanukkah & over the new year.
Map on the left shows activity for the week ending Dec. 7. Look at the change in the following week (right). www.cdc.gov/fluview/surv...
16 130 360

Reposted by: James Wilson

sthanu25.bsky.social
Hey,Iam Sthanu.

@Sthanu5 in X

Now,here!

Mechanisms of Drug-Induced Fever

www.semanticscholar.org
1 5

Reposted by: James Wilson

mcbazacophd.bsky.social
Just posting this picture of an iron lung at University of Pittsburgh School of Public Health, for no particular reason.

Jonas Salk was pretty dope.

#VaccinesSaveLives
Yellow Iron lung on display at University of Pittsburgh School of Public Health
16 180 730

Reposted by: James Wilson

helenbranswell.bsky.social
During his first term, US President Donald Trump signaled his intention to withdraw from the #WHO. He signaled today he intends to carry through on a move that experts say will threaten global health security. www.statnews.com/2025/01/20/t...
Trump orders U.S. to withdraw from World Health Organization
The move to exit the WHO is historic and controversial. The U.S. has long been the most generous provider of humanitarian assistance.
www.statnews.com
10 74 160

Reposted by: James Wilson

boghuma.bsky.social
An oral #vaccine against #norovirus would be AMAZING
The results of a ph1B clinical trial for an oral norovirus vaccine show promising results. The targeting norovirus GI.1 variant is safe and elicits robust immune responses in adults 55 to 80 years old.
www.newscientist.com/article/2470...
Norovirus vaccine pill shows promise against 'winter vomiting' bug
Most people recover from norovirus, a highly contagious infection, within a few days but it can be particularly risky for some groups. Now a small trial of a pill designed to protect against the virus...
www.newscientist.com
7 66 300

Reposted by: James Wilson, Helen Gunter

jessicacalarco.com
DOGE isn't saving us money. DOGE is forcing us to DIY society--to manage all the costs, risks, and problems that government is best poised to solve.
25 240 1K

by James Wilson

jameswilsondo.bsky.social
#methyleneblue #idcrit #criticalcare #ICU #shock #resuscitation #resuscitationist #EMsky #CCsky #FoaCC #FOAMcc #FOAMed

Methylene blue: when you’re all out of options

@pulmcrit.bsky.social @mbrigmon.bsky.social you use this w any regularity?

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1 1

by James Wilson

jameswilsondo.bsky.social
It’s also the cost of the test that needs to be considered. It’s about $600 out of pocket, and ~ $400 is knocked off by coverage. So, yes it’s minimal patient discomfort, but it is not without its cost.
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by James Wilson

jameswilsondo.bsky.social
It’s not that it’s him not useful; it’s that it’s being utilized in appropriately. The right test in the right situation gives the right information.

by James Wilson

jameswilsondo.bsky.social
BROADER ≠ STRONGER when talking about #antibiotics, can we please stop using that terminology for patients especially?
#IDsky #Medsky #idcrit
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References

Fields & subjects

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