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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 18/09/2026

A wonderful manuscript put together by a fellow at WUSTL ID. We honestly need a lot more work to be done before we know where the dimorphics are, and where they are going.

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 18/09/2026

A wonderful manuscript put together by a fellow at WUSTL ID. We honestly need a lot more work to be done before we know where the dimorphics are, and where they are going.

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Reposted by FungalDoc AKA Andrej Spec

Julio C. Zuniga-Moya @julioczuniga1.bsky.social · 18/09/2026

www.ovid.com/jnls/co-infe... Check out our latest review discussing how climate change, human mobility, and socioeconomic factors are expanding endemic mycoses beyond classic regions. Clinicians everywhere must stay alert and test patients. @fungaldoc.bsky.social @washumedicine.bsky.social

ovid.com

Endemic Mycoses in 2026: can we keep the pace of... : Current Opinion in Infectious Diseases

Purpose of reviewThe dimorphic fungal infections were classically grouped as endemic mycoses due to their restricted geographic distribution....

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Reposted by FungalDoc AKA Andrej Spec

Joseph Marcus @josephmarcusid.medsky.social · 06/09/2026

Such important data and so exciting that a CID was written by a med student first author 👏

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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 06/09/2026

This is a really exciting study for me for two reasons. 1. Led by a medical student!! 2. It helps us understand that the change in antigen concentrations is at least in part related to immune status. Suggesting that it correlates with disease activity.

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 06/09/2026

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Jonathan Ryder, MD @jonathanrydermd.bsky.social · 28/08/2026

This was a new one for me at today’s NE ID Conference: Emerging fungal infection in turtles/tortoises called Emydomyces testavorans One treatment option is terbinafine baths The more you know… @germhuntermd.bsky.social @fungaldoc.bsky.social

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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 26/08/2026

A really important step. DOOR is the future of mycology. In a field where meds and treatments are "heroic", the outcomes are more nuances than just dead or alive.

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 26/08/2026

A really important step. DOOR is the future of mycology. In a field where meds and treatments are "heroic", the outcomes are more nuances than just dead or alive.

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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 21/03/2026

We are looking to recruit transplant ID faculty. Happy to support different career types. WashU Medicine Division of Infectious Diseases is seeking a full-time transplant infectious diseases clinician. facultyopportunities.wustl.edu/Posting/Deta...

facultyopportunities.wustl.edu

Opportunity Details - Faculty Opportunities

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 21/03/2026

facultyopportunities.wustl.edu

Opportunity Details - Faculty Opportunities

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 10/03/2026

Evidence from an Indonesian island points to the successful elimination of lymphatic filariasis. Watch @washumedicine.bsky.social Dr. Peter U. Fischer, PhD, and Senior Scientist Kerstin Fischer as they discover their work's long-term impact: source.washu.edu/2026/03/a-we...

source.washu.edu

A welcome instance of hope

Evidence from a small island in Indonesia points to the successful elimination of a parasitic worm that causes a devastating tropical disease.

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Reposted by FungalDoc AKA Andrej Spec

lotta-publisher.bsky.social @lotta-publisher.bsky.social · 19/10/2025

Hello #IDWeek2025! Warm up for #IDBugBowl with this little question... Hope you do better than me! #IDSky @fungaldoc.bsky.social

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 25/08/2025

This was my experience too. There is a paper out there, where I analyzed the data, wrote the methods, and much of the results, setting the tone for what the story of the paper will be. I then went to another institution, and the paper was published without my knowledge, and without my name.

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 23/08/2025

This is such an interesting study. Many times in medicine we feel that something should be a risk factor for death. But it turns out not to be. And often, even when that data is clearly presented, people still continue to not believe it. Negative studies teach us often more than a positive study.

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 23/08/2025

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Reposted by FungalDoc AKA Andrej Spec

Julio C. Zuniga-Moya @julioczuniga1.bsky.social · 20/08/2025

🚨🍄In a cohort of patients with Candida BSI, LVAD presence was not associated with increased 30-day or 90-day mortality.Despite higher acuity, LVAD support did not independently worsen short-term outcomes in Candida BSI. @fungaldoc.bsky.social academic.oup.com/ofid/advance... @ofidjournal.bsky.social

academic.oup.com

Comparative outcomes following Candida bloodstream infection in patients with left ventricular assist devices

AbstractBackground. Candida bloodstream infections (BSI) carry a high risk of adverse outcomes. Left ventricular assist devices (LVAD) are increasingly use

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Reposted by FungalDoc AKA Andrej Spec

Julio C. Zuniga-Moya @julioczuniga1.bsky.social · 04/08/2025

www.journalofinfection.com/article/S016... 🚨🚨🍄🍄 new research from Washington University Mycoses Group (WUMG) reveals that Invasive aspergillosis & mucormycosis show broad geographic distribution across the U.S. Regions with higher incidence report lower associated mortality. @fungaldoc.bsky.social

journalofinfection.com

Geographic distribution and associated mortality of invasive aspergillosis and mucormycosis among Medicare enrollees in the United States (2008-2015)

Invasive aspergillosis and mucormycosis are widely distributed in the United States, with certain regions experiencing significantly higher incidences. For invasive aspergillosis, each increase of 5 c...

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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 19/08/2025

We are recruiting for a new faculty member in the Transplant ID section at @WashUMedID. Highly dynamic section, with immense growth potential. We want to help people build a career in patient care, education or research. facultyopportunities.wustl.edu/Posting/Deta...

facultyopportunities.wustl.edu

Opportunity Details - Faculty Opportunities

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 19/08/2025

facultyopportunities.wustl.edu

Opportunity Details - Faculty Opportunities

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 03/07/2025

We are recruiting Transplant ID physicians into a vibrant and diverse group with active research and patient care expertise. We are looking for physicians who excel in patient care and are interested in developing an academic career through research, education or excellence in patient care!

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Reposted by FungalDoc AKA Andrej Spec

Sébastien Poulin @sebpoule.bsky.social · 25/06/2025

Brand new book #IDsky @fungaldoc.bsky.social

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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 31/05/2025

I wanted to share the preface from our upcoming second edition of our book, The Comprehensive Review of Infectious Disease. This has been in my head for years. Glad to finally see it in the printed word.

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Nico Barros @nicobarrosid.bsky.social · 04/06/2025

Cannot agree more with @germhuntermd.bsky.social @fungaldoc.bsky.social @natebahrid.bsky.social "Better awareness, diagnostic testing practices, and reporting are needed to improve patient outcomes and enhance our understanding of coccidioidomycosis epidemiology" jamanetwork.com/journals/jam...

jamanetwork.com

Estimated Burden of Coccidioidomycosis

This cross-sectional study generates a systematic and rigorous estimate of national incident symptomatic coccidioidomycosis cases by developing a model to account for cases missed through national sur...

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Reposted by FungalDoc AKA Andrej Spec

Jonathan Ryder, MD @jonathanrydermd.bsky.social · 31/05/2025

Looking forward to it! Loved the first edition and will recommend this next one to our fellows!

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 31/05/2025

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Reposted by FungalDoc AKA Andrej Spec

Joseph Marcus @josephmarcusid.medsky.social · 31/05/2025

I used the first edition for boards. Very excited there will be an updated version!

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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 30/05/2025

Next month, we will be publishing the next edition of our textbook, the Comprehensive Review of Infectious Disease. We have taken lots of feedback from the first edition, and we have made it better! www.amazon.com/Comprehensiv...

amazon.com

Comprehensive Review of Infectious Diseases

Comprehensive Review of Infectious Diseases [Spec MD MSCI, Andrej, Escota MD, Gerome, Davies MBBS MD MSc FRCPath MRCP FHEA PG Cert MedEd, Bethany, O’Halloran MB BCh BAO PhD, Jane] on Amazon.com. *FREE* shipping on qualifying offers. Comprehensive Review of Infectious Diseases

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Reposted by FungalDoc AKA Andrej Spec

James Wilson, DO, FACP, FAWM, CTropMed @jameswilsondo.bsky.social · 29/05/2025

What’s the expectation of rising rates of endemic mycoses and aspergillosis in the Chicagoland area after the “dust storm” from 16MAY2025? #idsky #pulmsky #aspergillosis #mycosis @fungaldoc.bsky.social @idvilchez.bsky.social @mangarone23.bsky.social

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Reposted by FungalDoc AKA Andrej Spec

Ilan Schwartz @germhuntermd.bsky.social · 19/03/2025

New IDSA 2025 Guideline Update on the Treatment of Asymptomatic Histoplasma Pulmonary Nodules (Histoplasmomas) and Mild or Moderate Acute Pulmonary Histoplasmosis in Adults, Children, and Pregnant People Led by @fungaldoc.bsky.social & Sandra Arnold www.idsociety.org/practice-gui... #IDSky #MedSky

idsociety.org

Histoplasmosis

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Reposted by FungalDoc AKA Andrej Spec

Nico Barros @nicobarrosid.bsky.social · 10/03/2025

Update on the Clinical Practice Guidelines for treatment of Histoplasmosis. Thank you to all the authors @fungaldoc.bsky.social @germhuntermd.bsky.social @jobadd.bsky.social @iddoc4kids.bsky.social Nathan Bahr www.idsociety.org/practice-gui...

idsociety.org

Histoplasmosis (2025)

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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 15/02/2025

The latest publication from our group shows high rates of histoplasmosis after the first year of a lung transplant. Donor derived? Presentation and Outcomes of Histoplasmosis in Transplant Recipients: A Retrospective Single‐Centre Cohort Study - onlinelibrary.wiley.com/doi/10.1111/...

onlinelibrary.wiley.com

Presentation and Outcomes of Histoplasmosis in Transplant Recipients: A Retrospective Single‐Centre Cohort Study

Histoplasmosis was more common among transplant recipients after the first year of transplant. Transplant recipients had more disseminated disease and higher, but not significant mortality at 90 days

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 15/02/2025

onlinelibrary.wiley.com

Presentation and Outcomes of Histoplasmosis in Transplant Recipients: A Retrospective Single‐Centre Cohort Study

Histoplasmosis was more common among transplant recipients after the first year of transplant. Transplant recipients had more disseminated disease and higher, but not significant mortality at 90 days

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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 06/02/2025

Have you ever wondered what it feels like to be a patient suffering from Histoplasmosis? Without the clinical veneer? Focusing just on what they live through? This is a great video produced by a patient advocacy organization! fightfungus.org/patient-vide...

fightfungus.org

Patient Videos - Histoplasmosis - Mycology Advocacy, Research & Education (MyCARE)

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 06/02/2025

fightfungus.org

Patient Videos - Histoplasmosis - Mycology Advocacy, Research & Education (MyCARE)

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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 06/02/2025

One of our wonderful medical students has categorized what itraconazole side effects look like in a modern cohort. It turns out, Itraconazole is better tolerated long-term than Fluconazole, based on earlier work. Side effects associated with itraconazole therapy academic.oup.com/jac/article-...

academic.oup.com

Side effects associated with itraconazole therapy

AbstractBackground. Itraconazole is the treatment of choice for many fungal infections, including histoplasmosis. While the tolerability of itraconazole ha

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 06/02/2025

academic.oup.com

Side effects associated with itraconazole therapy

AbstractBackground. Itraconazole is the treatment of choice for many fungal infections, including histoplasmosis. While the tolerability of itraconazole ha

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Nico Barros @nicobarrosid.bsky.social · 30/12/2024

Geographic distribution of endemic mycoses 2.0! Let's leave the "historical distribution maps" in the history books and replace them for 21st century driven data. @fungaldoc.bsky.social @julioczuniga1.bsky.social academic.oup.com/ofid/advance...

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Reposted by FungalDoc AKA Andrej Spec

Ilan Schwartz @germhuntermd.bsky.social · 28/12/2024

Congrats Andrej and Julio and team. I like how have you built on your previous (important) work to corroborate / triangulate. I agree that we need to be more effective at educating about these important diseases - beyond board exams!

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Ilan Schwartz @germhuntermd.bsky.social · 28/12/2024

Mapping the Geographic Distribution of Dimorphic Mycoses Using a US Commercial Insurance Database @julioczuniga1.bsky.social @fungaldoc.bsky.social academic.oup.com/ofid/advance... More data to show that the geographic range of dimorphic fungal infections is much wider than taught in med school

Distribution of cases of blastomycosis in A) Marketscan data, B) Medicare data, and C) historical maps

Distribution of cases of hisoplasmosis in A) Marketscan data, B) Medicare data, and C) historical maps

Distribution of cases of coccidioidomycosis in A) Marketscan data, B) Medicare data, and C) historical maps

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Reposted by FungalDoc AKA Andrej Spec

FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 28/12/2024

A common critique of our previous study was that "snow bird" retirees are over represented in the northern latitudes for dimorphic fungi. This dataset is people with private insurance. In other words, not retired. And the pattern still persists. Dimorphic fungi widespread.

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FungalDoc AKA Andrej Spec @fungaldoc.bsky.social · 28/12/2024

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Julio C. Zuniga-Moya @julioczuniga1.bsky.social · 28/12/2024

🚨🚨🚨🚨🚨🚨🚨 Dimorphic fungi in the USA are expanding into areas beyond their traditional ‘endemic’ regions. New study by the WUMG (Washington University in St. Louis) group. Should we consider dropping the term 'endemic'? @fungaldoc.bsky.social academic.oup.com/ofid/advance...

academic.oup.com

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