iiinova — where your digital self keeps evolving

ASTMH Clinical Group @acctmth.bsky.social · 16/09/2026

⏰ Just a few days to go! Join us this Saturday, September 19: Update Course in Clinical Tropical Medicine & Travelers’ Health 🌍 Refresh your #TropicalMedicine & #TravelMedicine knowledge with leading experts! 📋 Check out the agenda: tinyurl.com/ysk6vazt 🔗 Register now: tinyurl.com/9dxj52hm

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ASTMH Clinical Group @acctmth.bsky.social · 31/08/2026

⏰ Last call! Deadline today — August 31 The ACCTMTH Clinical Group is seeking volunteers to join the Chagas Disease Clinical Practice Guidelines Expert Panel in the U.S. Help shape evidence-based guidance for #ChagasDisease care in the U.S 🔗 Apply today: tinyurl.com/bdxxf3cn

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ASTMH Clinical Group @acctmth.bsky.social · 14/08/2026

📣 Tomorrow: the International Tropical Medicine Case Conference! Hosted by Baylor College of Medicine in collaboration with ACCTMTH. 🌎 Clinical cases from around the world 🆓 Free & open to all 🌐 English + live Spanish translation @astmh.bsky.social

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ASTMH Clinical Group @acctmth.bsky.social · 14/08/2026

🎉 Congratulations to Jerome Munyangi wa Nkola (Faculty of Medicine, University of Kolwezi, DRC), winner of the 2026 ACCTMTH Clinical Essay Competition! We celebrate this outstanding achievement and his contribution to tropical medicine. Congratulations, Jerome! 👏 @astmh.bsky.social

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ASTMH Clinical Group @acctmth.bsky.social · 07/08/2026

🩺 Answer (3/3) 🧬 Diagnostic Pearl OROV RNA may persist in urine for up to 24 days, longer than in blood or serum. ✅ Test urine as well as blood when OROV is suspected. 💡 Remember: Think of OROV in febrile returning travelers from endemic areas. 📚Source: Labiod et al., Euro Surveill. 2025.

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ASTMH Clinical Group @acctmth.bsky.social · 07/08/2026

🩺 Returning Traveler Challenge #1 – Answer (2/3) OROV may mimic other arboviruses. 🕵️ A biphasic illness is a key clue. 🧠 Neuroinvasive disease, including aseptic meningitis and meningoencephalitis, may occur. 👇 Final pearl...

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ASTMH Clinical Group @acctmth.bsky.social · 07/08/2026

🩺 Returning Traveler Challenge #1 – Answer (1/3) ✅ Diagnosis: Oropouche virus disease (OROV) 👇 Following the large Oropouche outbreaks in the Americas during 2023–2024, imported cases were reported for the first time in Europe, Canada, and the United States.

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ASTMH Clinical Group @acctmth.bsky.social · 01/08/2026

📢 Next in the Summer Chagas Disease Webinar Series, hosted by Albert Einstein College of Medicine: 💊 You’re Starting Treatment: How Do You Manage Side Effects and Treatment Expectations? 🎙️ Dr. Katherine Reifler 📅 Aug 3 | 5–6 PM EDT 🔗 Register: tinyurl.com/4xzrpvv6 @astmh.bsky.social#ChagasDisease

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ASTMH Clinical Group @acctmth.bsky.social · 01/08/2026

🩺 Returning Traveler Challenge #1 (3/3) ❓ What is your differential diagnosis? ❓ Which additional investigations would you order? 💬 Share your thoughts in the comments! 👀 Think you've solved it? We'll reveal the diagnosis and key clinical pearls in our next post.

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ASTMH Clinical Group @acctmth.bsky.social · 01/08/2026

🩺 Returning Traveler Challenge #1 (2/3) Most symptoms resolve within 7 days... …but return 2–11 days later, with: 🧠 Vertigo 🚶 Gait instability 👁️ Diplopia Dengue, Zika & chikungunya tests are negative. 👇 What would you do next?

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ASTMH Clinical Group @acctmth.bsky.social · 01/08/2026

🩺 Returning Traveler Challenge #1 (1/3) Fever after travel to Cuba 🇨🇺 A previously healthy adult returns from Cuba with: 🤒 Fever 🤕 Headache 💪 Myalgia and arthralgia Symptoms begin during travel or shortly after returning home. 👇 Continue reading…

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ASTMH Clinical Group @acctmth.bsky.social · 01/08/2026

✈️ Vacation season is here — and so is our new clinical case series! We’ll explore real-world scenarios in travel and tropical medicine, with practical questions for everyday clinical practice. 🩺 Ready for our first Returning Traveler Challenge? 👇

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ASTMH Clinical Group @acctmth.bsky.social · 25/07/2026

📢 A reminder! Registration is open for the 2026 Update Course in Clinical Tropical Medicine and Travelers' Health 🌍 Hybrid format (Brasília + online) 🎟️ One registration gives you access to both course days 🎓 Student & trainee discounts ⭐ Expert faculty 🔗 tinyurl.com/m9y9m92f @astmh.bsky.social

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ASTMH Clinical Group @acctmth.bsky.social · 02/07/2026

📚 Stay up to date in Clinical Tropical Medicine & Travelers' Health! Join the 2026 ASTMH Update Course: 🇧🇷 Aug 16 – In person in Brasilia, Brazil (with livestream) 💻 Sept 19 – Livestream 🔗 Course details: tinyurl.com/5mm5u5ps 📝 Register here: tinyurl.com/9dxj52hm @astmh.bsky.social

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ASTMH Clinical Group @acctmth.bsky.social · 31/05/2026

✈️ WHO currently considers the risk of this outbreak very high nationally in DRC, but low globally. Several countries, including the US, have implemented enhanced screening and public health measures. 🔗 See CDC guidance for updated travel information.

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ASTMH Clinical Group @acctmth.bsky.social · 31/05/2026

🧩 Controlling Ebola outbreaks requires a coordinated response involving: 🏥 Infection prevention and control (IPC) 🔬 Laboratory diagnostics 📊 Surveillance 🤝 Community engagement 🩺 Case management 🌍 National and international coordination

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ASTMH Clinical Group @acctmth.bsky.social · 31/05/2026

🤒 BDBV usually begins with fever, headache, myalgia, abdominal pain, and nausea (“dry phase”). ⚠️ Later stages may include vomiting, diarrhea, and hemorrhage (“wet phase”), potentially leading to shock and organ failure. 💉 No vaccine or specific treatment currently exists.

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ASTMH Clinical Group @acctmth.bsky.social · 31/05/2026

🦇 Fruit bats and non-human primates are thought to be the main Ebola reservoirs. ⚠️ Human infection may occur through contact with infected animals or bodily fluids from infected people. 🏥 Poor IPC measures and unsafe burials can amplify outbreaks.

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ASTMH Clinical Group @acctmth.bsky.social · 31/05/2026

🧬 The current outbreak has been identified as Bundibugyo Ebola virus (BDBV), one of the four Orthoebolavirus species. This is the third recorded BEBOV outbreak: 📍 Uganda, 2007: 131 cases, 42 deaths 📍 DRC, 2012: 38 cases, 13 deaths Ref: CDC - Ebola - Outbreak History.

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ASTMH Clinical Group @acctmth.bsky.social · 31/05/2026

Ebola virus was first identified in 1976 in the DRC Since then, several outbreaks have occurred across Africa. The largest, in West Africa in 2014, caused >28,000 cases and >11,000 deaths. 🌍 Understanding past outbreaks is key to improving preparedness and response.

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ASTMH Clinical Group @acctmth.bsky.social · 31/05/2026

Ebola outbreak 2026 — what do we know so far? A new Ebola outbreak has once again highlighted the importance of early detection, rapid response, infection prevention, and global surveillance. #Ebola #GlobalHealth #InfectiousDiseases #TropicalMedicine #TravelMedicine

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ASTMH Clinical Group @acctmth.bsky.social · 18/05/2026

📢 Join the new Clinical Practice Guidelines Subcommittee! Help shape future ASTMH clinical guidelines. We are seeking ACCTMTH members to serve as Co-Chairs and members. 📅 3-year term ⏳ Apply by June 1 🔗 Learn more: tinyurl.com/4fmh3zmm 📝 Apply: tinyurl.com/3fjz3djn @astmh.bsky.social

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ASTMH Clinical Group @acctmth.bsky.social · 18/05/2026

✈️ Clinical Trainee Case Presentation submissions are now open! Present your tropical medicine case at the ASTMH Annual Meeting. 🏆 3 winners selected 💵 Up to $1,000 travel support + free registration ⏳ Deadline: May 18 🔗 Details below: tinyurl.com/bdzxkcd5 @astmh.bsky.social

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ASTMH Clinical Group @acctmth.bsky.social · 18/05/2026

📝 The STLG Essay Competition is now live! The Invisible Traveler: NTDs in non-endemic countries 🌍 Open to students and trainees worldwide 📝 1,000–1,500 words 🏆 Winning essays will be submitted to AJTMH ⏳ Deadline: May 18 🔗 Submission details:https://tinyurl.com/4e39xdt2 @astmh.bsky.social

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ASTMH Clinical Group @acctmth.bsky.social · 06/05/2026

Hand hygiene saves lives. A simple action with a major impact on preventing infections and improving patient safety—every day. #IPC #PatientSafety #HandHygiene

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ASTMH Clinical Group @acctmth.bsky.social · 05/05/2026

Interested in learning more about malaria? Let us know which aspects you’d like to explore further—we’ll create more focused content based on your input 👇 #malaria #tropicalmedicine #travelmedicine #infectiousdiseases

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ASTMH Clinical Group @acctmth.bsky.social · 05/05/2026

How to prevent malaria? Avoid mosquito bites: • Be aware of endemic regions • Use physical protection (long sleeves, bed nets) • Apply repellents (≥30% DEET) #malaria #tropicalmedicine #travelmedicine #infectiousdiseases

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ASTMH Clinical Group @acctmth.bsky.social · 05/05/2026

When should you think of malaria? Influenza-like symptoms + relevant travel history should always raise suspicion. Key findings that increase the likelihood: hyperbilirubinemia, splenomegaly, thrombocytopenia, and fever. #malaria #tropicalmedicine #travelmedicine

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ASTMH Clinical Group @acctmth.bsky.social · 05/05/2026

Fever is the key symptom of malaria—often accompanied by shivering and diaphoresis. Non-specific symptoms are common and can include myalgias, headache, nausea, vomiting, and fatigue. #malaria #tropicalmedicine #infectiousdiseases #travelmedicine

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ASTMH Clinical Group @acctmth.bsky.social · 05/05/2026

Malaria has a complex life cycle involving both humans and mosquitoes—key to its transmission and clinical features. P. falciparum is the most severe species. #malaria #tropicalmedicine #infectiousdiseases #travelmedicine

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ASTMH Clinical Group @acctmth.bsky.social · 05/05/2026

Malaria remains endemic across large parts of the world, particularly in: -. Sub-Saharan Africa -. Asia -. Latin America. Travel to endemic areas is one of the most important risk factors for acquiring malaria. #malaria #tropicalmedicine #travelmedicine #acctmth

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ASTMH Clinical Group @acctmth.bsky.social · 05/05/2026

No parasite kills more people worldwide than malaria. It is caused by infection with any of six Plasmodium species—a protozoan blood parasite—and is transmitted through the bite of infected female Anopheles mosquitoes. #malaria #tropicalmedicine #infectiousdiseases

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ASTMH Clinical Group @acctmth.bsky.social · 05/05/2026

Malaria remains one of the world’s deadliest parasitic infections—and a diagnosis you should never miss in a returning traveller with fever. 👇 Follow this thread to explore key facts about this important parasitic disease ‪ @astmh.bsky.social #malaria #worldmalariaday #tropicalmedicine

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ASTMH Clinical Group @acctmth.bsky.social · 14/04/2026

💬 What would you like us to cover next? Diagnosis, treatment, or screening strategies? We welcome your input. #ChagasDisease #GlobalHealth #TropicalMedicine

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ASTMH Clinical Group @acctmth.bsky.social · 14/04/2026

For more details on Chagas disease, we encourage reviewing the references included in this post and the latest WHO guidelines. 🔗https://who.int/publications/i/item/9789275120439 #ChagasDisease #GlobalHealth #NTDs #TropicalMedicine

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ASTMH Clinical Group @acctmth.bsky.social · 14/04/2026

💊 Effective treatment options are available. • Benznidazole (first-line) • Nifurtimox Both drugs are effective, although treatment requires monitoring due to potential adverse effects. #Treatment #NTDs

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ASTMH Clinical Group @acctmth.bsky.social · 14/04/2026

🧪 Diagnosis of chronic Chagas No single test is enough. ✔ Requires two different serological tests (different antigens/techniques) #Diagnostics #InfectiousDiseases

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ASTMH Clinical Group @acctmth.bsky.social · 14/04/2026

🤰 Prevention starts before pregnancy Trypanocidal treatment before pregnancy can eliminate the risk of vertical transmission. This represents a key opportunity for intervention. #Prevention #WomensHealth #ChagasDisease

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ASTMH Clinical Group @acctmth.bsky.social · 14/04/2026

👶 Congenital Chagas matters Early detection is key. • Treatment during pregnancy ❌ • Early infant treatment → cure rates >90% #ChagasDisease #MaternalHealth #NTDs

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ASTMH Clinical Group @acctmth.bsky.social · 14/04/2026

🔎 Who should be screened in non-endemic areas? • People from endemic regions • Family members of positive cases • Women of childbearing age • Infants born to infected mothers

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ASTMH Clinical Group @acctmth.bsky.social · 14/04/2026

📈 But the story is changing… Chagas disease is increasing in non-endemic areas, largely driven by population mobility. 🌍 Where are most cases outside endemic regions? The highest burden is in: • United States • Spain • Italy

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ASTMH Clinical Group @acctmth.bsky.social · 14/04/2026

Chagas disease affects ~10.5 million people globally and is endemic in 21 Latin American countries. 📉 Good news: prevalence has decreased in endemic regions thanks to control efforts. #WorldChagasDiseaseDay #ChagasDisease #NTDs

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ASTMH Clinical Group @acctmth.bsky.social · 14/04/2026

April 14 | World Chagas Disease Day A neglected parasitic disease that still affects millions worldwide. Let’s break down why it matters 👇 #WorldChagasDiseaseDay #ChagasDisease #NTDs @astmh.bsky.social

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ASTMH Clinical Group @acctmth.bsky.social · 12/04/2026

Outside of these regimens, WHO still recommends: 🔹 6-month regimen (2HRZE/4HR) for pulmonary DS-TB 🔹 Also for non-severe DS-TB in children and adolescents 💊 Daily dosing with fixed-dose combinations is preferred whenever possible

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ASTMH Clinical Group @acctmth.bsky.social · 12/04/2026

BDLLFxC: 6-month regimen for MDR/RR-TB and pre-XDR-TB 🔹 Suitable for children and adults 🔹 Pulmonary and selected extrapulmonary TB ✔️ Suitable for PLWH ⚠️ Use in pregnancy requires careful risk–benefit assessment 📌 If fluoroquinolone resistance is present → consider BDLC

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ASTMH Clinical Group @acctmth.bsky.social · 12/04/2026

BPaLM: 6-month regimen for MDR/RR-TB and pre-XDR-TB 🔹 For patients ≥14 years 🔹 Pulmonary and selected extrapulmonary TB ⚠️ If fluoroquinolone resistance is detected → use BPaL (without moxifloxacin)

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ASTMH Clinical Group @acctmth.bsky.social · 12/04/2026

6-month regimens for drug-resistant TB include: 🔹 BPaLM (≥14 years) 🔹 BDLLFxC (all ages) Both can be used in people living with HIV. 📌 BDLLFxC is also suitable for pregnant and breastfeeding women

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ASTMH Clinical Group @acctmth.bsky.social · 12/04/2026

4-month regimens: 🔹 2HPMZ/2HPM (≥12y) 🔹 2HRZ(E)/2HR (3–16y) ⚠️ In PLWH: consider ART interactions & clinical stability Ethambutol use depends on HIV status & INH resistance

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ASTMH Clinical Group @acctmth.bsky.social · 12/04/2026

What’s new in TB treatment guidelines? 👇 Following the 2022 update, WHO now recommends: 🔹 4-month regimens for drug-susceptible TB (unchanged) 🔹 New 6-month regimens for drug-resistant TB

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