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Nico Barros

@nicobarrosid.bsky.social
974 followers 76 following 37 posts

Transplant Infectious Diseases Indiana University

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Nico Barros @nicobarrosid.bsky.social · 10/07/2025
A must read. www.idsociety.org/globalassets... @germhuntermd.bsky.social @natebahrid.bsky.social @fungaldoc.bsky.social
idsociety.org
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Nico Barros @nicobarrosid.bsky.social · 17/06/2025
Cool article! @drboulware.bsky.social academic.oup.com/cid/advance-...
academic.oup.com
Revisiting Immune-Mediated Mechanisms as Drivers of Cryptococcal Immune Reconstitution Inflammatory Syndrome
Hyunah Yoon, MD MS, Liise-anne Pirofski, MD, David R Boulware, MD MPH; Revisiting Immune-Mediated Mechanisms as Drivers of Cryptococcal Immune Reconstituti
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Ilan Schwartz @germhuntermd.bsky.social · 08/06/2025
Addressing Antifungal Drug Resistance — A “One Health–One World” Challenge @grthompsonmd.bsky.social and Angel Desai www.nejm.org/doi/full/10....
nejm.org
Addressing Antifungal Drug Resistance — A “One Health–One World” Challenge | NEJM
Use of some antifungal pesticides may select for resistant fungi in the environment, which can then endanger human health. Coordinated regulatory processes in this area are important.
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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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Nico Barros @nicobarrosid.bsky.social · 04/06/2025
Histoplasma working group ISHAM. Let's do it! 90-90-90 for 2030!
ISHAM targets 90-90-90
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Ilan Schwartz @germhuntermd.bsky.social · 30/05/2025
Interferon-γ therapy in patients with refractory disseminated #coccidioidomycosis Steve Holland and colleagues in @cidjournal.bsky.social academic.oup.com/cid/advance-...
academic.oup.com
Interferon-γ therapy in patients with refractory disseminated coccidioidomycosis
Abstract. Refractory disseminated coccidioidomycosis (DCM) is a severe disease with limited treatment options. This report reviews our own and prior publis
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Nico Barros @nicobarrosid.bsky.social · 03/06/2025
Benedict K. and colleagues estimate that the US fungal disease related economic burden to be 19.4 billion dollar (with Dr. Evil sound effect)!!! academic.oup.com/ofid/article...
academic.oup.com
Economic Burden of Fungal Diseases in the United States
We conservatively estimated the U.S. economic burden of fungal diseases as $11.5 billion in 2019: direct medical costs ($7.5 billion), productivity loss du
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Nico Barros @nicobarrosid.bsky.social · 24/05/2025
Saving the best for last, Histoplasma working group ISHAM2025 Foz do Iguaçu, Brazil
ISHAM Histoplasma working group
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Nico Barros @nicobarrosid.bsky.social · 23/05/2025
Michael Mansour presenting about "Augmenting neutrophil function as a therapeutic strategy for high risk-patients" Next level stuff! @mansourlab.bsky.social @mgh-id.bsky.social
Michael Mansour presenting
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Nico Barros @nicobarrosid.bsky.social · 22/05/2025
journals.asm.org/doi/10.1128/... Great paper! @germhuntermd.bsky.social
journals.asm.org
Practical Guidance for Clinical Microbiology Laboratories: Antibody and antigen detection methods for dimorphic fungal infections | Clinical Microbiology Reviews
SUMMARYAntibody and antigen detection assays continue to play a significant role in the diagnosis of dimorphic fungal pathogens, including Blastomyces dermatitidis complex, Coccidioides immitis/posada...
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Ilan Schwartz @germhuntermd.bsky.social · 11/03/2025
Are contemporary antifungal doses sufficient for critically ill patients? Outcomes from an international, multicenter PK study for Screening Antifungal Exposure in Intensive Care Units (SAFE-ICU) J Roberts etc TLDR: ++variable, need tailored approach w TDM link.springer.com/article/10.1...
AUC0-24/MIC for two different durations of antifungal treatment in ICU: 1-3 days vs 4-7 days, shown for various antifungals (and for caspofungin and anidulafungin shown separately for C albicans and C glabrata)

PK/PD target-related exposures per occasion of the study antifungals prescribed for treatment. The shaded area represents the PK/PD target used in this study. For fluconazole, 15 data points are outside the y-axis limits (max AUC0-24/MIC value was 3250.3); ICU intensive care unit; AUC0-24 area under the plasma concentration-time curve from zero to 24 h; fAUC0-24 free AUC0-24; MIC minimum inhibitory concentration; Cmin minimum observed plasma concentration; Cmax maximum observed plasma concentration
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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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Ilan Schwartz @germhuntermd.bsky.social · 05/03/2025
From rising #TxID star (and a Canadian, no less), Patrick Tam @tamckpatrick.bsky.social HOPE in every breath and heartbeat: Understanding transplant eligibility, access barriers, and clinical outcomes in thoracic transplantation in persons with HIV www.jhltopen.org/article/S295...
jhltopen.org
HOPE in every breath and heartbeat: Understanding transplant eligibility, access barriers, and clinical outcomes in thoracic transplantation in persons with HIV
Persons with HIV (PWH) are living longer, leading to increased end-organ disease from chronic illness. Organ transplantation improves survival in patients with end-organ disease yet remains a constrai...
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Nico Barros @nicobarrosid.bsky.social · 23/02/2025
Histoplasmosis screening was positive in 9.1% of PLWHIV with clinical manifestations suggestive of histoplasmosis (including fever, night sweats and weight loss) in a Brazilian center. More screening is required for early diagnosis and improved outcomes. academic.oup.com/mmy/advance-...
academic.oup.com
Histoplasmosis screening using urinary antigen detection in people living with HIV in Southern Brazil
Abstract. Histoplasmosis is a life-threatening opportunistic infection in individuals with advanced HIV disease (AHD), particularly in endemic regions such
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Nico Barros @nicobarrosid.bsky.social · 21/02/2025
Fungal sensitization syndrome may be more prevalent than currently thought. This article examines asthma as a potential coccidiodiomycosis complication. onlinelibrary.wiley.com/doi/10.1111/...
onlinelibrary.wiley.com
Investigating Asthma After Coccidioidomycosis Among Patients With Commercial Health Insurance, United States, 2017–2022
Background The relationship between asthma and coccidioidomycosis has not been fully described. We have hypothesised that Coccidioides could trigger inflammatory airway responses, similar to other f...
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Nico Barros @nicobarrosid.bsky.social · 21/02/2025
If it's written by @kottonnelson.bsky.social, it is a must read! Concise expert insight into the utility of Immune monitoring assays for Cytomegalovirus. journals.lww.com/transplantjo...
journals.lww.com
Immune Monitoring Assays: Predicting Cytomegalovirus and... : Transplantation
An abstract is unavailable.
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Nico Barros @nicobarrosid.bsky.social · 19/02/2025
What an amazing valentines gift! pubmed.ncbi.nlm.nih.gov/39956284/
pubmed.ncbi.nlm.nih.gov
Complement and fungal diseases - PubMed
Complement and fungal diseases
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Nico Barros @nicobarrosid.bsky.social · 19/02/2025
A must read...amazing collaboration between different societies Super good article. Plus it has Michael K. Mansour @mansourlab.bsky.social as an author, boom!! www.thelancet.com/journals/lan...
thelancet.com
Global guideline for the diagnosis and management of candidiasis: an initiative of the ECMM in cooperation with ISHAM and ASM
Candida species are the predominant cause of fungal infections in patients treated in hospital, contributing substantially to morbidity and mortality. Candidaemia and other forms of invasive candidias...
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Nico Barros @nicobarrosid.bsky.social · 19/02/2025
One of the largest reports on pediatric histoplasmosis. academic.oup.com/jpids/advanc...
academic.oup.com
Retrospective Investigation of Pediatric Histoplasmosis Diagnosed at a Tertiary Children’s Hospital in an Endemic Area over 11 years
AbstractBackground. Most histoplasmosis data are from adults. We describe pediatric histoplasmosis diagnosed at a tertiary pediatric care center in an ende
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Nico Barros @nicobarrosid.bsky.social · 12/02/2025
This is a great commentary challenging the use of antibiotics for SBP prophylaxis in patients with cirrhosis. academic.oup.com/cid/advance-... I've added this review article by @arunasubramanian.bsky.social as it provides context to the question (great read). journals.lww.com/hepcomm/full...
academic.oup.com
Rethinking Antibiotic Prophylaxis for Spontaneous Bacterial Peritonitis in Patients with Cirrhosis: First, Do No Harm
Abstract. Antibiotic prophylaxis for spontaneous bacterial peritonitis (SBPPr) in patients with cirrhosis has been considered standard of care since the 19
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Nico Barros @nicobarrosid.bsky.social · 12/02/2025
Expanding our pool (and knowledge) Great article about the long term outcome of HBV viremic allograft use in seronegative liver and kidney transplant recipients. journals.lww.com/journalacs/a...
journals.lww.com
Friend or Foe? Safety and Efficacy of Hepatitis B Viremic... : Journal of the American College of Surgeons
T+ and NAT-negative (–) allografts in seronegative recipients. Study Design: All recipients of an HBV core antibody-positive (HBcAb+) LT or KT were prospectively evaluated at a single transplant ce...
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Nico Barros @nicobarrosid.bsky.social · 08/02/2025
Two good reads to accompany the Saturday morning coffee: doi.org/10.1093/ofid... (Breakthrough invasive mold infections in hematological cases) academic.oup.com/ofid/article... (Adenovirus incidence on pediatric SOT)
doi.org
Breakthrough Invasive Mold Infections in Hematologic Cases: Relevance of the Host's Factors
This retrospective study evaluating breakthrough invasive mould infections occurring among hematological patients highlights that host factors, including p
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Nico Barros @nicobarrosid.bsky.social · 01/02/2025
Fun things to read and keep us entertained during these difficult times. "Surveillance and prevention of infection in clinical xenotransplantation" journals.asm.org/doi/10.1128/... Amazing article by Adam Stewart and Jay Fishman
media.tenor.com
a baby anna from the movie frozen is surrounded by snow
Alt: a baby anna from the movie frozen is surrounded by snow
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Nico Barros @nicobarrosid.bsky.social · 28/01/2025
Check out our editorial "Beyond the test: moving forward with transplant candidates testing positive for COVID-19" Since I wrote it with @kottonnelson.bsky.social, can I say that I'm a grownup, or not just yet? We discuss an interesting Transplantation article: journals.lww.com/transplantjo...
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Nico Barros @nicobarrosid.bsky.social · 28/01/2025
What an awesome start for cocci this 2025! Outcomes of cocci in Ab+ SOTs after stopping antifungal prophy journals.lww.com/transplantjo... Antifungal prophy for Cocci: how long journals.lww.com/transplantjo... Should we treat mild cocci in immunocompetent host academic.oup.com/cid/advance-...
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TransplantID.Net - American Society of Transplantation @transplantidnet.bsky.social · 17/01/2025
Journal of Fungi review of #Histoplasmosis in solid organ #transplant by @nicobarrosid.bsky.social and L. Joseph Wheat of MiraVista Labs 🚨Open access🚨 🔥Great tables!🔥 Open Access articles always prioritized by transplantid.net buff.ly/4aovOY7
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Nico Barros @nicobarrosid.bsky.social · 09/01/2025
This guideline sought to provide updated recommendations on corticosteroid use for adults with sepsis, ARDS, and CAP jamanetwork.com/journals/jam...
jamanetwork.com
Corticosteroids for Sepsis, ARDS, or Community-Acquired Pneumonia
This JAMA Clinical Guidelines Synopsis summarizes the 2024 Society of Critical Care Medicine guidelines on use of corticosteroids in sepsis, acute respiratory distress syndrome, and community-acquired...
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Nico Barros @nicobarrosid.bsky.social · 09/01/2025
#vaccinesavelives Expanded recommendations to include pneumococcal conjugate vaccination for adults >50. www.cdc.gov/mmwr/volumes...
cdc.gov
Expanded Recommendations for Use of Pneumococcal ...
This report describes CDC’s updated pneumococcal conjugate vaccine recommendation for all adults aged ≥50 years who are PCV-naïve or who have unknown vaccination history.
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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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Nico Barros @nicobarrosid.bsky.social · 21/12/2024
Infectious Diseases Clinics of North America just published reviews of: Histo, Blasto, Mucor, Dematiaceous, invasive candidiasis, climate change medical mycology, fungal nomenclature, and culture-independent diagnostics. www.sciencedirect.com/journal/infe...
sciencedirect.com
Infectious Disease Clinics of North America | ScienceDirect.com by ElsevierScienceDirect
Read the latest articles of Infectious Disease Clinics of North America at ScienceDirect.com, Elsevier’s leading platform of peer-reviewed scholarly literature
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Nico Barros @nicobarrosid.bsky.social · 19/12/2024
Very nice study describing the clinical aspects of this amazing fungi in transplant recipients. @fungaldoc.bsky.social @julioczuniga1.bsky.social 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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Nico Barros @nicobarrosid.bsky.social · 19/12/2024
Guys, you gotta stop fertilizing your weed with bat guano. academic.oup.com/ofid/article...
academic.oup.com
Histoplasmosis Associated With Bat Guano Exposure in Cannabis Growers: 2 Cases
Abstract. Histoplasma capsulatum is a pathogenic dimorphic fungus with evolving epidemiology. Initially described as endemic to the Ohio and Mississippi ri
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Camille Nelson Kotton @kottonnelson.bsky.social · 02/12/2024
The ACIP 2025 vaccine schedule for adults by medical condition (as well as age) is now available - with some great updates www.cdc.gov/vaccines/hcp...
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Ricardo M. La Hoz @ricardolahozmd.bsky.social · 30/11/2024
The results of the SOT subgroup analysis of the SOLTICE Phase III RCT (Maribavir vs. IAT) are consistent with those of the overall population. > Effectiveness < Discontinuations. #TxID #IDSky #ViroSky #MedSky pubmed.ncbi.nlm.nih.gov/39613120/
pubmed.ncbi.nlm.nih.gov
Maribavir for refractory cytomegalovirus infection (with or without resistance) in solid organ transplant recipients: subgroup analysis of the phase 3 randomized SOLSTICE study - PubMed
ClinicalTrials.gov; NCT02931539 DATA AVAILABILITY STATEMENT: The datasets, including the redacted study protocol, redacted statistical analysis plan, and individual participants data supporting the re...
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Nico Barros @nicobarrosid.bsky.social · 30/11/2024
Despite the risk of selection bias, the current study does an excellent job in underscoring the need for expanded screening and awareness of chagas disease among transplant candidates. It also shows that we need better access to monitoring tests. academic.oup.com/ofid/article...
academic.oup.com
Prevalence of Trypanosoma cruzi Infection in Solid Organ Transplant Recipients: A Neglected Disease in America
This study reports a 4.8% prevalence of T. cruzi infection among 1,523 individuals who required solid organ transplantation from 2019 to 2023, with lung an
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Nico Barros @nicobarrosid.bsky.social · 27/11/2024
A monumental ruling from the Secretary of the Health and Human Services. Huge round of applause to Dr. Durand and the HOPE investigators. www.federalregister.gov/documents/20...
federalregister.gov
Organ Procurement and Transplantation: Implementation of the HIV Organ Policy Equity (HOPE) Act
The Department of Health and Human Services (HHS) amends the regulations implementing the National Organ Transplant Act of 1984, as amended (NOTA), to remove clinical research and institutional review...
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Nico Barros @nicobarrosid.bsky.social · 22/11/2024
Very comprehensive and helpful guideline for clinicians pubmed.ncbi.nlm.nih.gov/39536464/
pubmed.ncbi.nlm.nih.gov
Prevention and Treatment of Cancer-Related Infections, Version 3.2024, NCCN Clinical Practice Guidelines in Oncology - PubMed
There is an increased risk of infection in patients with cancer that results in higher morbidity and mortality. Several risk factors can predispose these patients to infectious complications. Some suc...
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Nico Barros @nicobarrosid.bsky.social · 21/11/2024
OMGerms! Another amazing review article in NEJM, this time, is about C. auris. Candida auris Infections | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
Candida auris Infections | NEJM
C. auris, a serious public health threat that may have emerged because of climate change, persists on human skin and inanimate objects, frequently causing difficult-to-control outbreaks in health c...
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Nico Barros @nicobarrosid.bsky.social · 20/11/2024
NEJM is on fire! What a great review. #transplantid.net
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Nico Barros @nicobarrosid.bsky.social · 20/11/2024
www.nejm.org/doi/full/10.... This is great!
nejm.org
Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | NEJM
Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. In a multicenter, non...
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