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Clare Warrell

@clarewarrell.bsky.social
555 followers 424 following 12 posts

Hospital for Tropical Diseases consultant in Tropical Medicine and Parasitology. UK Imported Fever Service consultant. LSHTM DTM&H Course Director. Education enthusiast. Propensity to pun.

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Clare Warrell @clarewarrell.bsky.social · 18/09/2026
Apply now to be a Clinical Fellow at the Hospital for Tropical Diseases (HTD), London Join the team and experience life at HTD — an opportunity to develop your clinical skills, broaden your experience and learn from experts in the field Find out more and apply here: www.uclh.nhs.uk/work-with-us...
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Michael Marks @drmichaelmarks.bsky.social · 03/09/2026
Post-doc modelling post @lshtm.bsky.social Working on UK STI modelling & collab with @ukhsa.bsky.social Deadline 17th Sept. @tah-sci.com @sbfnk.bsky.social @yhgrad.bsky.social @anne-cori.bsky.social @lizfearon.bsky.social @petedodd24.bsky.social @drlouisedyson.bsky.social @ollycm.bsky.social
jobs.lshtm.ac.uk
Job Opportunity at LSHTM: Research Fellow
The London School of Hygiene & Tropical Medicine (LSHTM) is one of the world’s leading public health universities. Our mission is to improve health and health equity in the UK and worldwide; working i...
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stefano932.bsky.social @stefano932.bsky.social · 13/09/2026
A tongue tremor can be a clue to tick-borne encephalitis. In TBE, tongue tremor has been reported in ~30% of patients during the neurological phase. This short video shows the finding in a woman with TBE from northeastern Italy. Paper: doi.org/10.1136/pn-2... #IDSky #TBE
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Clare Warrell @clarewarrell.bsky.social · 29/07/2026
📣 Opportunity for Clinical Scientists 🔬 The Rare and Imported Pathogens Laboratory (RIPL) are advertising a unique opportunity to join the highly specialist National clinical service. Join us to help shape and develop the future of the service! 🔗 Apply here: www.healthjobsuk.com/job/v8175970
healthjobsuk.com
Job vacancy: Clinical Scientist, UK Health Security Agency, Salisbury | trac.jobs
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Clare Warrell @clarewarrell.bsky.social · 21/06/2026
@uclh is running a metagenomics service which covers 4 groups of patients; 1. Febrile neutropenic blood mNGS 2. Resp ITU BAL/ETA mNGS 3. Neurology CSF/brain tissue mNGS via GOSH 4. Febrile returned traveller blood mNGS via RIPL Seeking a resident doctor to run this www.uclh.nhs.uk/work-with-us...
uclh.nhs.uk
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Greg Folkers @gregfolkers.bsky.social · 26/05/2026
Lancet: Cruise ship hantavirus outbreak in remote island communities Matthew Dryden et al bit.ly/4nNZRPT
bit.ly
Cruise ship hantavirus outbreak in remote island communities
On April 27, 2026, the Dutch-flagged expedition cruise ship MV Hondius arrived at Ascension Island, a remote mid-Atlantic UK Overseas Territory (UKOT). The vessel had left Ushuaia (Argentina) on April...
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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 20/05/2026
#idboardreview 60 M has 🐈 🐕 visits India & Arizona yearly now w/pneumonia, then headache, diplopia, csf lymphocytic, ⬇️glucose ⬆️protein, coccidio IgG neg, crypto neg. Enlarged ventricles requiring VP shunt. Dx? #medEd #idmedEd #IDsky csf stain 👇
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Clare Warrell @clarewarrell.bsky.social · 05/05/2026
*HTD Infectious Diseases/Tropical Medicine Clinical Fellow ST3+ Job* from August 2026 for 12 months. Fantastic opportunity for ID enthusiasts to gain experience at the HTD. #IDsky beta.jobs.nhs.uk/candidate/jo... @uclh.bsky.social
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London School of Hygiene & Tropical Medicine @lshtm.bsky.social · 05/05/2026
Want to advance your #GlobalHealth career? With our Professional Diploma in Tropical Medicine & Hygiene you'll join doctors around the world & gain skills to diagnose, treat, & prevent diseases in limited resource settings. Runs in London 21 September-11 December 2026 👉 tinyurl.com/yrnbamhp
Graphic with black text reading: Short course: Professional Diploma in Tropical Medicine & Hygiene on a green background with an inset image of a man in a blue lab coat and gloves holding up a sample vial.
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WHO @who.int · 03/05/2026
We have informed our National Focal Points according to the International Health Regulations and a Disease Outbreak News for the public will be issued.
WHO is supporting a public health event following hantavirus cases on a cruise vessel in the Atlantic Ocean.
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Digital Brain @yourdigitalbrain.bsky.social · 03/05/2026
Nomura’s jellyfish can grow from the size of a grain of rice to over 6 feet wide in just six months. A marvel of the ocean with a sting that packs a punch.
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Michael Marks @drmichaelmarks.bsky.social · 27/04/2026
Are you an LSHTM DTM&H Alumni? If so do sign up for our refresher course in July!
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London School of Hygiene & Tropical Medicine @lshtm.bsky.social · 27/04/2026
Refresh your tropical medicine knowledge with LSHTM’s DTM&H Refresher 9-10 July 2026 in London An update for DTM&H and MSc Tropical Medicine & International Health alumni, covering key developments in TB, HIV, malaria, child health & global health research. Apply by 11 June 2026 bit.ly/41I1Pal
Graphic with black text reading: Short course: Professional Diploma in Tropical Medicine & Hygiene Refresher on a pink background and inset image of a seated man in a white lab coat and green gloves looking down a microscope.
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NEJM.org @nejm.org · 18/03/2026
A 74-year-old man was admitted to the hospital with a 3-week history of intermittent fevers, muscle aches, and vomiting. Thin blood smears showed spirochetes. Read the full case details: nej.md/4uqGBL4 #MedSky #IDSky
Images in Clinical Medicine 
Soft Tick Relapsing Fever 

Panels A and B: Two thin blood smears with Wright’s staining showing spirochetes
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Drugs for Neglected Diseases initiative (DNDi) @dndi.org · 27/02/2026
🚀 Huge news for people living with #sleepingsickness! Acoziborole, a one-day, single-dose oral treatment developed with Sanofi, has received a positive opinion from @ema.europa.eu for the treatment of the most common form of sleeping sickness. 👉 bit.ly/46ZFpEi
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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 30/01/2026
#idboardreview 30 M recent travel to Japan, consumed seafood/sushi, tap water, raw fruits/vegetables, drank 4 alcoholic drinks/day, presents w/ severe epigastric pain, N,V, no relief with antiulcer tx, EGD several small mass lesions in stomach w/erosion #idsky #meded #idmeded
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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 23/01/2026
#idboardreview A kid was bitten by an octopus 🐙 while swimming. 2 days later: cherry-sized, red, erythematous wound w/ hemorrhagic nodus in center that didn’t heal for months. Once excised: healed completely. path with GNR #medEd #idmedEd #IDsky
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Women in Malaria @womeninmalaria.bsky.social · 13/01/2026
📣 4 scholarships are available to support women parasitologists from LMICs to attend the ICOPA 2026 conference in Montréal (August 16-21)! Application deadline 11. February & requires proof of abstract submission (deadline 2. February). Further info: www.herminthology.com/equip
herminthology.com
EQUIP Scholarship | Herminthology
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Paul Fairie @paulisci.bsky.social · 01/01/2026
A List of Predictions Made in 1926 About 2026 🧵
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UW Infectious Disease Fellowship Program @uwidfellowship.bsky.social · 19/12/2025
The Nepal Ministry of Health and Population has reported 35 fatalities to Japanese encephalitis (JE), and another 175 cases since June, numbers significantly higher than 2024 when 80 cases were reported, including 23 deaths. outbreaknewstoday.substack.com/p/nepal-repo... #IDSky
outbreaknewstoday.substack.com
Nepal reports sharp rise in Japanese encephalitis in 2025; Seeks help for 2026 vaccination campaign
The Nepal Ministry of Health and Population has reported 35 fatalities to Japanese encephalitis (JE), and another 175 cases since June, numbers significantly higher than 2024 when 80 cases were report...
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Clare Warrell @clarewarrell.bsky.social · 19/12/2025
We are recruiting! Come and join the Imported Fever Service/RIPL team as a Clinical Fellow. 1 year post. Great job, great projects, great team. Applications close 18th Jan. beta.jobs.nhs.uk/candidate/jo... @ukhsa.bsky.social @tommyrampling.bsky.social
beta.jobs.nhs.uk
Job Advert
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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 19/11/2025
#idboardreview 45 farmer from Uganda 🇺🇬 presents acutely w/fever, fatigue, headache, black tarry stools, nose bleed, blurry vision. Recent contact w/ sick 🐄 during birth. ⬆️Cr, LFTs, CK, LDH, ⬇️Hb, wbc. Retinitis w/ hemorrhage. Dx? #medEd #idmedEd #idsky #virologySky
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id-journal.bsky.social @id-journal.bsky.social · 05/11/2025
Kyasanur Forest disease, a tick-borne viral fever in India's Western Ghats, is caused by a flavivirus and transmitted by Haemaphysalis spinigera ticks. Since 1957, it has spread due to deforestation and human encroachment. 🌳🦠 #idsky
thelancet.com
[Review] Kyasanur Forest disease: an emerging arboviral threat
Kyasanur Forest disease is a neglected tick-borne viral haemorrhagic fever endemic to India's Western Ghats, caused by the Kyasanur Forest disease virus, a flavivirus transmitted by Haemaphysalis spinigera ticks. The virus circulates in a sylvatic cycle among monkeys, rodents, shrews, birds, and ixodid ticks, and is transmitted to humans incidentally via tick bites. Since its discovery in 1957 in Karnataka, Kyasanur Forest disease has spread to other Indian states, driven by deforestation, forest fragmentation, and increased human incursion into wildlife habitats.
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The Global Vector Hub @globalvectorhub.bsky.social · 28/10/2025
🦟" #Senegal 🇸🇳 reports rapid rise in human #RiftValley fever cases: 140 confirmed cases, 18 deaths" 🌍 open.substack.com/pub/outbreak... via @outbreaknewstoday.substack.com.web.brid.gy
open.substack.com
Senegal reports rapid rise in human Rift Valley fever cases: 140 confirmed cases, 18 deaths
In a follow-up on the Rift Valley fever (RVF) situation in Senegal, the Ministry of Health reports in an update today, the outbreak has now reached 140 confirmed human cases and 18 deaths.
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Alex Stockdale @alexstockdale.bsky.social · 16/10/2025
Published today. We found that hepatitis B was the leading cause of cirrhosis and HCC in southern Malawi. HCC is diagnosed at a very late stage. Huge opportunity to prevent liver-related death with community hepatitis B test and treat programmes. #hepsky #idsky www.thelancet.com/journals/lan...
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Ilan Schwartz @germhuntermd.bsky.social · 19/08/2025
A clinical practice guideline for tuberculous meningitis Tuberculous Meningitis International Research Consortium www.thelancet.com/journals/lan... 🔒
thelancet.com
A clinical practice guideline for tuberculous meningitis
Tuberculous meningitis is the most severe form of tuberculosis, causing death or disability in around half of those affected. There are no up-to-date international guidelines defining its optimal mana...
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Contagion® @contagionlive.bsky.social · 20/07/2025
Cases and deaths in the state are down from the 2 previous years. Here are some clinical considerations, treatment options, and prevention strategies in relation to these infections. #IDsky #Medsky
contagionlive.com
Four Deaths in Florida This Year From Vibrio vulnificus Infections
Cases and deaths in the state are down from the 2 previous years. Here are some clinical considerations, treatment options, and prevention strategies in relation to these infections.
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Open Forum Infectious Diseases @ofidjournal.bsky.social · 20/07/2025
First Case of Neuroinvasive Oropouche Virus in Wisconsin: A Case Report ✅ Just Accepted #IDSky
doi.org
First Case of Neuroinvasive Oropouche Virus in Wisconsin: A Case Report
Oropouche virus (OROV) is a re-emerging arbovirus that poses a yet undetermined degree of threat to the United States (US), with outbreaks reported in the Caribbean and South America, including new areas of spread, since the end of 2023.
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Anthony Olszewski @anthonyolszewski.bsky.social · 21/07/2025
youtu.be/olqQj_t8QzA?... #PublicHealth #Zoonosois #IDSky #InfectiousDisease
youtu.be
Murine Typhus: A Re-emerging Threat in the United States
YouTube video by Centers for Disease Control and Prevention (CDC)
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European Centre for Disease Prevention and Control @ecdc.europa.eu · 21/07/2025
🧵 Dengue is no longer just a tropical disease - it's showing up in Europe. This season, France, Italy, and Portugal (Madeira) have already reported locally acquired dengue cases. Check the latest #CDTR on #dengue here: bit.ly/3TQpDVu #IdSky #EpiSky #MosquitoBorne #Prevention #PublicHealth
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BK. Titanji @boghuma.bsky.social · 17/12/2024
1/ Imagine being a kid, just vibing at school, when boom—a tapeworm decides to set up camp in your brain. 🧠🏕️ Welcome to the wildest, most unexpected outbreak Belgium has seen. And no, this isn’t an episode of House MD but it reads like it. I love ID #IDSky #MedSky www.thelancet.com/journals/lan...
thelancet.com
Neurocysticercosis school outbreak in Belgium
Human cysticercosis results from ingesting microscopic Taenia solium eggs shed by a tapeworm carrier, forming cystic larvae (ie, cysticerci) in tissues. These larvae normally encyst in the pig, the natural intermediate host. Upon consumption by humans, they develop into a new intestinal tapeworm. Affecting the human brain, neurocysticercosis is responsible for a third of epilepsy cases in endemic tropical and subtropical regions.1,2
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Eurosurveillance journal @eurosurveillance.org · 25/06/2025
🥗 Washing your salad before you eat it is always a good idea, even if it is a "ready-to-eat" product Calero-Barnal et al. tested 3,329 samples from 10 European countries for Toxoplasma gondii Here's what they found 👉🏽 bit.ly/EUS30TG #EpiSky #IDSky #FoodSafety #PublicHealth
Key public health message

What did you want to address in this study and why?

The parasite Toxoplasma gondii can cause severe disease in humans. People can acquire the parasite by eating raw or undercooked infected meat or unwashed fruits or vegetables contaminated with the parasite. We wanted to investigate T. gondii in commercial ready-to eat (RTE) salads in European countries to estimate the importance of these food products as sources of T. gondii.

What have we learnt from this study?

Using a molecular method, we detected T. gondii in 4.1% of 3,293 RTE salad samples from 10 European countries. Sampling in winter season, sampling and packaging of salad in Northern Europe and salad grown in Western Europe were associated with detection of T. gondii from salad samples.

What are the implications of your findings for public health?

As RTE salads are intended to be consumed raw without further processing, T. gondii in salad from European countries may lead to infections in humans. Measures to prevent and control contamination of salads are necessary. Further washing of RTE salads might be recommended for specific risk groups such as pregnant people.
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Clare Warrell @clarewarrell.bsky.social · 22/06/2025
Tetanus: recognition and management. A comprehensive review in @thelancetinfdis.bsky.social with a brilliant group of co-authors. www.thelancet.com/journals/lan...
thelancet.com
Tetanus: recognition and management
Currently a rarity in high-income countries, tetanus is a diagnosis not to miss. Deaths from tetanus fell by almost 90% between 1990 and 2019, largely reflecting the success of WHO's Maternal and Neon...
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Clare Warrell @clarewarrell.bsky.social · 21/06/2025
📣 ID/HIV Job opportunity: ST3+ Infectious Diseases Clinical Fellow at University College London Hospital/Hospital for Tropical Diseases from September 2025. Deadline 1/7/25 www.nhsjobs.com/job/UK/Londo...
nhsjobs.com
Job vacancy: ST3 Clinical Fellow, University College London Hospitals NHS Foundation Trust, London | trac.jobs
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Eurosurveillance journal @eurosurveillance.org · 15/05/2025
Check out our new issue 🗞️ bit.ly/EUS3019 Findings from the rapid communication by Atkinson et al. underscore the importance of infection prevention & control measures #IPC as viable clade Ib #MPXV contamination can occur during treatment of #mpox patients #IDSky #EpiSky #MedSky #PublicHealth
Image showing the table of content of issue 19 in 2025:

Rapid communication
Air and surface sampling for clade Ib monkeypox virus in United Kingdom hospitals, 2024 to 2025

Research
Human infections with Eurasian avian-like swine influenza virus detected by coincidence via routine respiratory surveillance systems, the Netherlands, 2020 to 2023

Review
Frameworks to support evidence-informed decision-making in public health and infectious disease prevention and control: a scoping review

Users’ experience of frameworks to support evidence-informed decision-making in public health: a scoping review
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Joseph Marcus @josephmarcusid.medsky.social · 17/05/2025
Outbreak of 12 probable/confirmed histoplasmosis cases amongst travelers to 🇨🇷. All cases included: ✅ spending significant times in caves ✅ saw 🦇 ✅ had direct contact with 🦇 droppings Most pts improved without treatment. www.cdc.gov/mmwr/volumes... #IDSky
cdc.gov
Cave-Associated Histoplasmosis Outbreak ...
This report describes a cluster of suspected histoplasmosis cases affecting 12 members of an extended family who had all visited the Venado Caves in Costa Rica.
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Timothy Li @drtimothyli.bsky.social · 04/05/2025
Transmission and clinical manifestations of leptospirosis in humans doi.org/10.1038/s415... #IDSky
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Gabriele Pollara @gpollara.bsky.social · 27/04/2025
Quick bit of CPD for a Sunday morning. Had not appreciated association between this infection & coffee... #IDSky #ClinMicro @cidjournal.bsky.social academic.oup.com/cid/advance-...
academic.oup.com
Too Much Coffee: A Rare Cause of Sore Throat
A 25-year-old male from Guatemala presented to the clinic with a 5-year history of sore throat, associated with odynophagia and dysphagia for solids. He re
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Springer Medicine @springermedicine.com · 11/04/2025
Blood-tinged saliva, light-headedness, difficulty speaking and a foreign body sensation in the throat were all reported by a 65-year-old man with severe #anemia. The cause? Oropharyngeal #leech infestation. Read the full #EdsChoice case 👉 buff.ly/RG8vYWu #MedSky #IDSky
buff.ly
Oropharyngeal leech infestation as a cause of severe anemia in a 65-year-old male patient: a case report
Blood-tinged saliva, light-headedness, difficulty speaking and a foreign body sensation in the throat were all reported by a 65-year-old man with severe anemia. The cause? Oropharyngeal leech…
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Helen Warrell @helenwarrell.bsky.social · 04/04/2025
In northern Norway, US marines are learning Arctic warfare. Here is my @financialtimes.com story on the competition between Russia, China & Nato in this region – and how troops fight in a hostile climate. With Daria Mosolova & beautiful 📷 by @kalpeshlathigra.bsky.social www.ft.com/content/76fd...
ft.com
Meet the warriors trying to teach the west how to fight in the Arctic
Melting sea ice, rising tensions and the relearning of what it will take to master the art of Arctic warfare
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UK Health Security Agency @ukhsa.bsky.social · 07/03/2025
We are currently working to identify contacts of an individual who travelled to England while they were unwell with Lassa fever. This individual returned to Nigeria, where they were diagnosed. Full story news 🔗📰 www.gov.uk/government/n...
Dr Meera Chand, Deputy Director at the UK Health Security Agency, said:

"Our Health Protection Teams are working at pace to get in touch with people who were in contact with this individual while they were in England, to ensure they seek appropriate medical care and testing should they develop any symptoms. The infection does not spread easily between people, and the overall risk to the UK population is very low."
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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 28/02/2025
Just published 🔥 IDSA 2025 Clinical Practice Guideline Update On Histoplasmosis: Treatment of Asymptomatic Histoplasma Pulmonary Nodules (Histoplasmomas) and Mild or Moderate Acute Pulmonary Histoplasmosis in Adults,Children & Pregnant People #IDsky www.idsociety.org/practice-gui...
idsociety.org
Histo (2025)
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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 21/02/2025
#idboardreview 30 M from Ethiopia in refugee camp x7d now arrived in Europe, has fever x3d f/b chills, dizziness, hepatomegaly, thrombocytopenia, ⬆️inflammatory markers. Blood smear shown. Dx? #medEd #idmedEd #IDsky
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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 12/02/2025
#idboardreview Pt from Taiwan p/w Headache x1mo, urine incontinence, confusion x1wk, rigidity, F, neck stiffness, peripheral eosinophilia (10%), hyponatremia. Csf eosinophilia (65%). Hx frequent snail catching & eating. MRI multiple micro bleeds. #idtwitter #MedEd #idSky #idmeded
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Grace Spence Green @handle.invalid · 07/02/2025
On the 25th October 2018, from my hospital bed, I began to write. 1/5
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Clare Warrell @clarewarrell.bsky.social · 08/02/2025
From tick-surveillance to the first confirmed cases of tick-borne encephalitis in the UK. Super work by Helen Callaby, and a big group including clinicians across the U.K. and UKHSA diagnostics/tick surveillance teams- #RIPL #IFS #emerginginfections #idsky shorturl.at/jpnHQ
shorturl.at
Tick-borne encephalitis: from tick surveillance to the first confirmed human cases, the United Kingdom, 2015 to 2023
Background Tick-borne encephalitis virus (TBEV) is a flavivirus spread by ticks and can cause tick-borne encephalitis (TBE) in humans. Previously, TBE has been reported in returning travellers in the ...
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Clare Warrell @clarewarrell.bsky.social · 26/01/2025
How should S.haematobium infection be managed in non-endemic regions? …This is what we came up with based on 20 years of confirmed cases at the Hospital for Tropical Diseases, London. Thanks to all co-authors including @tropdoc.bsky.social @gaurig03.bsky.social @hannahrafferty.bsky.social on bsky
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Antonio Guerrero MD PhD @guerreroespejo.bsky.social · 19/01/2025
Couple (68 years old and 61 years old) from Hai Duong (Vietnam) after being bitten by rats: fever, chills, edematous, swollen, infected wounds on their hands and critical condition. SODOKU DISEASE (rat bite fever). thanhnien.vn/hai-vo-chong... #IDSky #microbiology
thanhnien.vn
Hai vợ chồng nguy kịch do bị chuột cắn
Sau khi bị chuột cắn, hai vợ chồng ở Hải Dương phải nhập viện điều trị tại Trung tâm Bệnh nhiệt đới (Bệnh viện Bạch Mai) trong tình trạng sốt rất cao, nguy cơ biến chứng nguy hiểm.
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Infectious Diseases Fellowship at Indiana University @iuidfellowship.bsky.social · 14/01/2025
#IdBoardReview 50 yo Caribbean male s/p bone marrow transplant 1mo ago presents w/ fever, cough, eosinophilia, thumbprint periumbilical purpuric rash. BAL sample streaked on blood agar showed winding trailing pattern. Dx? #medEd #idmedEd #Idsky
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