Holy cow. I can't begin to fathom the work done to flesh this out!

#IDtwitter those of you who have used rifamycins for Pseudomonas treatment, could you point me to the best available evidence for their use, dosage etc? Brad Spellberg Gabe 🦊

HLH is always scary and challenging. We collaborated with so many people across disciplines and I can think of only very few patients where comparable efforts were made to understand and alter the course of events. Sadly without success...

Advanced POCUS course today at #IFAD2023, led by Adrian Wong and Segun Olusanya (He/Him) [email protected]. Amazing lectures tying physiology to ultrasound, followed by a chat with faculty. I hope to see more of this in the future!

Septic shock due to extensive cellulitis (typical erysipelas picture). Cultures of the area grow GAS and MSSA. No bacteremia. Cover GAS only or both? #idtwitter Brad Spellberg Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 Annette Hennigs Bug Pharmacist 💊🧫 Tim Gauthier

Critical diagnosis, can be very impressive! I've seen a case that was misdiagnosed as anaphylaxis, due to severe face and airway edema.

ID and critical care folks, does anyone know if we have data on the prevalence of meningitis with pneumococcal bacteremia? Ie if we have an intubated septic shock patient with pneumococcal bacteremia, what are the chances they have meningitis? #idxposts #idtwitter

Unfortunately this is a predictable result of using antibacterials regularly for a significant part of the general population. There's also no reason to believe Enterobacter ales and gonorrhoea won't follow the same curve. DoxyPEP is fundamental different from ART-P(r)EP.