iiinova — where your digital self keeps evolving

Reposted by Ilan Schwartz

Jack Turban MD @turban.bsky.social · 19h

Hope you find a good answer for when they ask why you flip flop on supporting trans youth and their families.

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Ilan Schwartz @germhuntermd.bsky.social · 08/10/2026

Could you please expand on what bothers you about the piece?

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Katy Stephenson @kstephensonmd.bsky.social · 07/10/2026

HIV clinical research funding is in grave danger. Please consider signing this letter to members of Congress to continue to support this vital research.

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Ilan Schwartz @germhuntermd.bsky.social · 06/10/2026

Maybe eventually when off patent in… 2035. And even then, added logistical challenge with needing nebulizer but not insurmountable

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Ilan Schwartz @germhuntermd.bsky.social · 05/10/2026

Amikacin Liposome Inhalation Suspension in Newly Diagnosed Mycobacterium avium Complex Lung Disease: A Phase 3b, Double-blind, Randomized Clinical Trial (ENCORE) Adding ALIS to a multidrug regimen improved respiratory outcomes and culture conversion academic.oup.com/ajrccm/advan... #IDSky #pulmsky

Graph showing change in respiratory symptoms over time. Comparator arm seemed to be associated with greater improvement until off of therapy (month 13) at which point the lines cross and the ALIS arm is associated with greater symptom improvement , a difference that remains at month 15

Bar graph comparing culture conversion rates between treatment arms. The ALIS arm had greater proportion of culture conversion through all time points. By month 13, the rate of culture conversion was 82.4% for ALIS (95% CI 77.2-87.6) vs 55.6% (95% CI 48.9-62.3), a treatment difference of 26.8% (95% CI 18.3-35.3%), p<0.0001

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Ilan Schwartz @germhuntermd.bsky.social · 04/10/2026

no test for it, other than biopsy for culture. Plasma cell free DNA sequencing could potentially detect it, but I expect the sensitivity would be low in isolated brain abscess

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Alicia Ault @aliciaault.bsky.social · 02/10/2026

CDC reporting a big increase in cases of a rare fungal disease that primarily attacks the brain and has a 60-70% fatality rate. Increase likely not due to a rise in referrals or detection, per this MMWR paper. #IDSky #EpiSky #NeuroSky #fungusamongus

cdc.gov

Cladophialophora bantiana Detections

This report describes 48 confirmed cases and one probable case of C. bantiana in clinical samples from 2009–2026.

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Ilan Schwartz @germhuntermd.bsky.social · 02/10/2026

San Diego is usually in the short list, along with SF, Boston, and DC

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Ilan Schwartz @germhuntermd.bsky.social · 02/10/2026

Shorter is also better in ICU patients Timsit, Roberts, @angelahuttner.bsky.social, Daneman &c State-of-the-Art in AJRCCM @atsblueeditor.bsky.social For most ICU patients with (suspected) infections, abx can be 🛑 at 5-7d w clinical improvement academic.oup.com/ajrccm/advan... #IDSky #CritCareSky

Duration of antibiotic therapy in sepsis and severe infections in critically ill patients decision pathway.

Day 1 empiric therapy: sampling (culture) before therapy, clinical exams, consider alternate diagnosis;

48-72h Tailor treatment and switch to targeted therapy where possible, PK optimization, source control

Indications for extended courses: endocarditis (4-6 weeks), brain abscess (6-12 weeks), spondylodiscitis (6-12w), prosthetic joint infection (6-12 w), incomplete removal abscess, empyema, retained prosthesis: individualized

Day 5-7:

if Patients NOT responding or positive cultures: reassess treatment, individualize according to source control, immune status, high risk microbiology (S aureus, candida), possible suboptimal therapy (MDR), intravascular devices, ? role of serial PCT for stopping early questioned

if Clinical improvement: STOP antibiotics

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Reposted by Ilan Schwartz

Oliver Cornely @olivercornely.bsky.social · 02/10/2026

I’m delighted to announce AAAM 2027 in Rennes, France, 25–27 February 2027. We’ll bring the global community together to discuss the latest advances in Aspergillosis and Mucormycosis. Registration & abstracts are open: aaam2027.org

aaam2027.org

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Ilan Schwartz @germhuntermd.bsky.social · 02/10/2026

You might have to wait literally 1 year

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Ilan Schwartz @germhuntermd.bsky.social · 01/10/2026

I loved it but need to go back and read Dickens. Might give a renewed appreciation

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Richard Sever @richardsever.bsky.social · 28/09/2026

Noise/useless science rather than AI slop is a current challenge: "If medical schools and universities don't want the literature to be overwhelmed with garbage, they should stop giving every applicant ... an incentive to publish a lot of crap." www.medpagetoday.com/special-repo...

medpagetoday.com

Is AI Flooding Medical Journals With 'Meaningless' Research?

'It's not fraudulent, and it's not really slop,' one expert says

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Ilan Schwartz @germhuntermd.bsky.social · 29/09/2026

It was sooo good. It was the last show here, otherwise I’d try to go again!

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Jeff Sharlet @jeffsharlet.bsky.social · 29/09/2026

I give up. I’m moving into a cave.

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Ilan Schwartz @germhuntermd.bsky.social · 28/09/2026

Buena Vista Social Club @ DPAC Amazing show!!!

Set with musicians before the start of the show

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Jason Stajich @hyphaltip.bsky.social · 25/09/2026

Virginia Tech has TWO Assistant/Associate Professor positions open in the Department of Biological Sciences targeting fungal and bacterial molecular biologists. Join some great fungal biologists @mycorican.bsky.social and Kirsten Nielsen! jobs.apply.vt.edu/jobs/assista...

jobs.apply.vt.edu

Assistant/Associate Professor - Blacksburg, Virginia, United States

Job Description The Department of Biological Sciences in the College of Science at Virginia Tech seeks applicants for two (2) tenure-track research and teaching positions at the Assistant/Associate ...

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AP Stylebook @apstylebook.com · 23/09/2026

Artificial intelligence systems do not think, feel, want or understand. Avoid language that gives them human characteristics.

apnews.com

https://apnews.com/article/openai-safety-ai-framework-089e75b95bc935af092da7b79d92706d

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Ilan Schwartz @germhuntermd.bsky.social · 24/09/2026

This is satire… but we do need actual emeritus professors to get off the sidelines

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Patrick Jackson @pehjackson.bsky.social · 24/09/2026

Virology friends: come work with me at UVA! Now hiring a professor of virology (open rank): apply.interfolio.com/191946

apply.interfolio.com

Apply - Interfolio {{$ctrl.$state.data.pageTitle}} - Apply - Interfolio

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Ilan Schwartz @germhuntermd.bsky.social · 24/09/2026

Did you see him when he came to space a few weeks back?

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Ilan Schwartz @germhuntermd.bsky.social · 24/09/2026

“I submitted an R01 in the fall, I got it in the spring, and then I went back to the bench and mouth-pipetted radioactive isotopes without a shield because we were men of science and we had funding and we didn’t have time to be afraid of phosphorus-32.” 😂

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Raywat Deonandan 🍁🇨🇦 @deonandan.bsky.social · 24/09/2026

This should terrify Americans. This is the true long term damage that Trump has done to your wealth and power. The reserve currency was your super power.

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elizabethginexi.bsky.social @elizabethginexi.bsky.social · 24/09/2026

For now the White House has backed away from a planned executive order to establish an NIH political review board. But officials do not appear to have totally abandoned their desire to tighten their grip over federal research spending. www.nytimes.com/2026/09/23/u...

nytimes.com

Trump Backtracks on Plan for New Controls on N.I.H. Grants (Gift Article)

Democrats and Republicans in Congress opposed the creation of a commission with the power to veto federal research awards.

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Ilan Schwartz @germhuntermd.bsky.social · 21/09/2026

I’m so sorry, Mary. May her memory bless and comfort you.

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Joseph Marcus @josephmarcusid.medsky.social · 20/09/2026

For those attending #IDWeek2026, you are invited to an #IDSky Social Media Meet-Up ⏰ Oct 22 8 PM-10:30 PM Place: Marriott Marquis Lobby Bar

IDWeek Social Media Meet-Up
October 22 from 8-10 PM ad the Lobby Bar of the Marriott Marquis

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Alexandra Phelan 余雪莲 @alexandraphelan.bsky.social · 18/09/2026

That didn’t take long

Tweet from Zachary Cohen that says:
NEW: The US military was prepared to board a Chinese vessel in the Middle East earlier this spring --during war with Iran -- after an intel report concluded it was transporting components of a nuclear weapons program.
But just before the planned operation, officials discovered the report had been generated w/ help of Al & chatbot used by the analyst inaccurately identified what the ship was carrying

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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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Ferric Fang, MD @fangferric.bsky.social · 18/09/2026

This is a good time to teach her about the vicissitudes of reliance on external funding.

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Ilan Schwartz @germhuntermd.bsky.social · 17/09/2026

Economic Outcomes of Dalbavancin versus Standard Therapy in Staphylococcus aureus Bacteremia in the DOTS Randomized Clinical Trial Among patients with injection drug use, savings with dalbavancin for SAB were approximately $22,000 💰 academic.oup.com/cid/article/... #IDSky

academic.oup.com

Economic Outcomes of Dalbavancin versus Standard Therapy in Staphylococcus aureus Bacteremia in the DOTS Randomized Clinical Trial

Across all patients in DOTS, mean medical costs associated with Staphylococcus aureus bacteremia were about $4600 to $5900 lower in the dalbavancin group v

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Ilan Schwartz @germhuntermd.bsky.social · 17/09/2026

"Ambient Scribe" AI hallucinating (projecting?) that a patient was taking mushrooms... seems bad

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Siddharth Kogilwaimath, MD FIDSA @hivdocsk.bsky.social · 17/09/2026

Hello #IDSky, we are actively recruiting ID Talent to join our faculty. We have seven open spots ranging from Infection Control to TxID to HIV clinicians to expand our division from its current capacity. If you’re interested, reach out to me!! jobs.utsouthwestern.edu/job/22782956...

jobs.utsouthwestern.edu

Infectious Diseases Specialist

Discover Infectious Diseases Specialist and other Faculty and Physicians jobs in Dallas, TX and apply online today!

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Ilan Schwartz @germhuntermd.bsky.social · 17/09/2026

Less is more, ortho-ID edition Another game changer in ortho ID from the group that brought you OVIVA Pts with ortho infections who underwent curative surgery (no DAIR) with local implantation of abx were randomized to <=7d vs >=4w ABx No Dif in 12 mo relapse www.nejm.org/doi/full/10.... #IDSky

Forest plot with primary analysis results which shows no difference in definite treatment failure, definite/probable treatment failure, or definite/probable/possible treatment failure according to treatment duration

Forest plot showing subgroup analysis which shows no difference between shorter and longer duration antibiotics in any of the subgroups including prosthetic infection, Staph aureus mono infection, and whether local gentamicin was used in mono therapy or combination therapy

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 16/09/2026

I am suing the NIH. As part of a class action with the ACLU and 16 other plaintiffs, we are challenging the thousands of unlawful grant terminations in an effort to get them all reinstated. Whatever happens, at the very least, no one can say I sat back and watched while they destroyed science.

aclu.org

Researchers Challenge NIH Screening of Grants for Disfavored Viewpoints | American Civil Liberties Union

Class action lawsuit seeks to stop censorship and termination of federally funded scientific research

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Nate Bahr @natebahrid.bsky.social · 16/09/2026

Fungal Awareness Week Day 3. Travel! We're often aware of the fungal infections that happen commonly in our area, but people travel! As physicians, travel histories can help us get to the right diagnosis. If you go into a cave on vacation and have a cough, I'm checking for you for histoplasmosis!

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IDWeek @idweek.bsky.social · 13/09/2026

Level up your ID knowledge at #IDWeek2026. 🎮 Register today: www.idweek.org/registration

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Patrick Crowley @pcrowleydo.bsky.social · 14/09/2026

Super excited for our research to get published. 20-50% of patients enrolled in hospice will get an antibiotic, and we have little understanding of the effects of these #IDSky #MedSky

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