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Patrick Lillie

@pjlillie.bsky.social
2.2K followers 793 following 267 posts

ID doc (TB / haem-onc) bit of research on the side, fell walking when chance allows

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Reposted by Patrick Lillie
British Infection Association @biainfection.bsky.social · 10/09/2026
Join us for the joint BIA and CVN Dilemmas Day 2027 on Virology and HIV 🦠 Taking place on the 26th of January at Millennium Point, Birmingham. Register now 👉 fitwise-bia-dilemmas-day-2027.eventsairsite.com/registration... #Infection #VirologyAndHIV #BIADilemmasDay2027
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Patrick Lillie @pjlillie.bsky.social · 04/06/2026
Great to see this out and good to have helped with it - some interesting bits and hopefully of use ! www.journalofinfection.com/article/S016...
journalofinfection.com
Incidence, risk factors and management of paradoxical reaction in central nervous system tuberculosis in the United Kingdom
The aim of this study was to evaluate the incidence, clinical presentation, risk factors, management, and outcomes of paradoxical reaction (PR) in central nervous system tuberculosis (CNS TB) in the U...
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Reposted by Patrick Lillie
Open Forum Infectious Diseases @ofidjournal.bsky.social · 28/02/2026
Factors involved in tuberculosis recurrence in a low-incidence setting. Reactivation predominates over reinfection in a 30-year surveillance study ✅ Just Accepted 🔗 bit.ly/40A9k2g
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Patrick Lillie @pjlillie.bsky.social · 03/02/2026
Great #tuberculosis regional meeting today. Talks on prison outbreaks / screening, finding undiagnosed latent cases, abdo TB pathways, strategic TB regional plans, paradoxical reaction management, complex TB-HIV-histoplasmosis infection. All great & good to catch up with colleagues, CPD at its best!
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Patrick Lillie @pjlillie.bsky.social · 29/01/2026
Fancy working with a great set of colleagues, lots of interesting pathology, opportunities for research? Look no further! It’s a great dept, come and see join.humberhealthpartnership.nhs.uk/vacancies/#!...
join.humberhealthpartnership.nhs.uk
Vacancies – NHS Humber Health Partnership Careers and Recruitment
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Patrick Lillie @pjlillie.bsky.social · 30/12/2025
#IDSky - recurrent transaminitis due to albendazole for hydatid. What do people do? Stop / start, reduce dose, reduce frequency, use praziquantel mono therapy?
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Patrick Lillie @pjlillie.bsky.social · 17/12/2025
#IDSky #TBSky - why is it that when you have a morning TB clinic and you’ve sent someone away on latent treatment their 4 week old sputum flags positive that afternoon!?! Aghhhh
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Patrick Lillie @pjlillie.bsky.social · 14/12/2025
I hate writing grant applications - trying to fit in the effort for it while on call, on the ward, full clinics and Christmas to sort out is driving me bonkers.
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Patrick Lillie @pjlillie.bsky.social · 12/11/2025
First paper in a while, very happy to be involved in this - COVID mortality in haematological malignancy. onlinelibrary.wiley.com/doi/10.1111/...
onlinelibrary.wiley.com
COVID‐19‐related mortality in a real‐world cohort of 18 883 patients with premalignant and malignant haematological neoplasms: An analysis from the UK's Haematological Malignancy Research Network
When the World Health Organization (WHO) declared the global COVID-19 pandemic, it was recognised that patients with haematological cancers would be more susceptible to severe disease. Set within a U...
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Reposted by Patrick Lillie
Sean Ong @seanong.bsky.social · 27/10/2025
We are looking for candidates for a new fully-funded joint PhD position at the Universities of Toronto and Melbourne, working on RCTs in bloodstream infection (BALANCE+, SNAP, STRAP). More info here: forms.gle/H9TXEMkwM1cb... Please spread far and wide! @steventong.bsky.social #IDSky
forms.gle
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Patrick Lillie @pjlillie.bsky.social · 07/08/2025
Excellent choice UKHSA! Well done Susan and good luck in the new role www.gov.uk/government/n...
gov.uk
New chief executive appointed at UKHSA
Professor Susan Hopkins is appointed as the new Chief Executive Officer of the UK Health Security Agency (UKHSA).
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Patrick Lillie @pjlillie.bsky.social · 04/08/2025
Final wainwrights completed yesterday evening, 214 fells and 13 yrs in the walking. Need to find another “challenge” to keep me sane(ish)
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Patrick Lillie @pjlillie.bsky.social · 02/08/2025
Fells 208-211 done, brilliant weather and hopefully get the final 3 in tomorrow before storm Floris arrives
Selfie on Dow CragView from summit Looking towards Scaffell massifLooking towards the coast from Dow Crag
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Patrick Lillie @pjlillie.bsky.social · 02/07/2025
#IDSky - pulmonary Nocardia (can’t speciate fully, do have MICs) with cavitation and nodules. Pretty well and certainly outpatient. Opat can’t do imipenem. Will have co-trim, would anyone try ertapenem instead of imipenem? Amik and ceftriax MICs high, Moxi is option with lowish MIC
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Reposted by Patrick Lillie
Lance Turtle @lanceturtle.bsky.social · 11/06/2025
JOB OPPORTUNITY: Come and work with us in the @nihr.bsky.social Health Protection Research Unit in Emerging and Zoonotic Infections @hpruezi.bsky.social. We have a post for a clinician to do a PhD in emerging infections and/or vector borne disease, working on national clinical studies.
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Patrick Lillie @pjlillie.bsky.social · 04/06/2025
#TBsky #IDsky - what do people do when there are unexpected interruptions in TB drug supplies? Have spent clinic changing from rifinah 300 to either separate drugs, rifinah 150 + extra rif or rifabutin as maybe getting low on rifampicin as well. Digging back into DTM&H memories to try and plan it
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Patrick Lillie @pjlillie.bsky.social · 21/05/2025
ARCP time of year for our resident doctors -the ammount of forms they (and me!) need to do is quite bonkers, with lots of duplication. Does anyone think it makes them better medics? Glad I got through before this level of box ticking, sorry for them it’s like this
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Patrick Lillie @pjlillie.bsky.social · 19/05/2025
How do you balance public health risk with individual rights? Here’s how we tried to do it in a complex XDR-TB case, great collaborative effort! academic.oup.com/jpubhealth/a...
academic.oup.com
A decision-making model for public health authorities in circumstances of potentially high public risk
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Patrick Lillie @pjlillie.bsky.social · 06/05/2025
when you’ve been on call at the weekend but forgot that you’re on again tomorrow
media.tenor.com
a cartoon of spongebob saying getting there .
ALT: a cartoon of spongebob saying getting there .
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Patrick Lillie @pjlillie.bsky.social · 30/04/2025
All day big solo TB clinic and every time I try and request a cxr the system crashes - fml
media.tenor.com
a blurry picture of a person 's back with their hands on the wall
ALT: a blurry picture of a person 's back with their hands on the wall
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Patrick Lillie @pjlillie.bsky.social · 02/04/2025
When yet again the lymph node biopsies only go to histology when requested for ? TB
media.tenor.com
a man with pink hair is standing in front of a refrigerator with the words so frustrating written on it .
ALT: a man with pink hair is standing in front of a refrigerator with the words so frustrating written on it .
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Reposted by Patrick Lillie
Michael Marks @drmichaelmarks.bsky.social · 28/03/2025
Academic Clinical Lecturer Posts in Infection now out: for people training in ID in UK & hold/imminently completing PhD. 2 posts @lshtm.bsky.social shorturl.at/EIUIz 1 at St Georges & 1 at Kings shorturl.at/8kDY3 If interested in @lshtm.bsky.social posts get in touch. UK ID people please share!!
A logo showing a person and the words Be Part of Research
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Patrick Lillie @pjlillie.bsky.social · 19/03/2025
Final day on this trip, 2 more fells done - 207 in total now, and finished off the central and northern fells. 4 southern, 2 far eastern, 1 eastern to go…
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Patrick Lillie @pjlillie.bsky.social · 18/03/2025
Another day of great walking, going from frosty and cold in the morning to sunny and probably burning a bit in the afternoon. 3 more fells done, couple more tomorrow hopefully then off home and back to work ☹️
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Patrick Lillie @pjlillie.bsky.social · 16/03/2025
First fell walk of the year (and first time posting here). Chilly breeze but great to get out. 199 Wainwrights done, 15 to go (a few more this trip all being well)
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Patrick Lillie @pjlillie.bsky.social · 28/02/2025
When does the USA become the 47th Oblast of Russia? Trump and Vance are arrogant bullies and despises them intensely
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Patrick Lillie @pjlillie.bsky.social · 29/01/2025
5 years ago tonight we had a leaving dinner for a colleague here. Part way through 2 of us had to go back to the ward to see some ? Wuhan n-CoV referrals. The first 2 UK cases meant I never got pudding that night, and had my steak on the ward at 1am - here’s hoping lightning doesn’t strike twice!
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Patrick Lillie @pjlillie.bsky.social · 27/01/2025
#IDSky #TxIDSky - biliary stent infections in patients with hepatobilliary malignancy. Seeing a few of these where it recurs and getting stent out is nearly impossible. Do people do long term suppression or standby treatment or just wait till next episode?
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Patrick Lillie @pjlillie.bsky.social · 23/01/2025
Great talks and cases - a short thread on what I got from it coming up! #TBSky #IDSky
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Patrick Lillie @pjlillie.bsky.social · 14/01/2025
#TBSky #IDSky - pulmonary TB fully sens, on treatment and improving well, then develops small joint damage thought to be gout, progressed despite steroids / colchicine. Biopsy shows AFB and PCR +ve for TB. Odd to get small joint well into effective treatment - ? Paradox reaction ? Ongoing infection
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Reposted by Patrick Lillie
British Infection Association @biainfection.bsky.social · 02/01/2025
Join us this month for the BIA/BTS Dilemma Day on 23 January 2025 in Birmingham. Register now 👉 fitwise.eventsair.com/2025biadilemm… #Infection #MycobacterialInfections #Mycobacterialdilemmas2025
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Patrick Lillie @pjlillie.bsky.social · 20/12/2024
A stellar cast of mycobacterial speakers (and me!) - will try and post some of the content on the day but try and come along az659834.vo.msecnd.net/eventsairwes...
az659834.vo.msecnd.net
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Patrick Lillie @pjlillie.bsky.social · 17/12/2024
#IDSky - first paper from us on bluesky. What are the longer term quality of life issues after bloodstream infection in people who inject drugs? Here are some data! www.journalofinfection.com/article/S016...
journalofinfection.com
Health associated quality of life impairment in People who inject drugs (PWID) after blood stream infection.
People who inject drugs (PWID) have high rates of blood stream infections (BSI) with Staphylococcus aureus (SA) and group A streptococcus (GAS). Little is known about health related quality of life outcomes after BSI.
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Patrick Lillie @pjlillie.bsky.social · 12/12/2024
#IDSky #TBSky Small numbers but impressive response - it would be great to use bedaquiline in NTM cases easier than we can now as it seems to be kryptonite for mycobacteria almost across the board www.nejm.org/doi/full/10....
nejm.org
Bedaquiline Monotherapy for Multibacillary Leprosy | NEJM
Standard multidrug therapy for leprosy may be associated with severe side effects, which add to the stigma and discrimination that affect persons with the disease. In addition, the threat posed by ...
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Patrick Lillie @pjlillie.bsky.social · 10/12/2024
This will be one of several great talks / cases that day (as well as mine!). Come along for mycobacterial enlightenment
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Patrick Lillie @pjlillie.bsky.social · 05/12/2024
www.bbc.com/news/article... Alarmed by it but then in the article admit they don’t know the size of the “problem” and also say in the report that many home schooled children get a good education - ffs no wonder people think OFSTED are useless, at least know how worried you should be
bbc.com
Ofsted 'alarmed' by school absence and 'flexi-schooling' - BBC News
Ofsted's chief inspector says he is worried about the number of pupils who are partly home-educated.
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Patrick Lillie @pjlillie.bsky.social · 04/12/2024
#IDSky #tuberculosis - pre biological therapy positive IGRA. On interacting meds for rifamycin, tried INH mono and severe rash. Anyone using FQ for non MDR latent treatment in this situation? Asking parent team if any other non biological options / other non interacting meds an option
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Patrick Lillie @pjlillie.bsky.social · 22/11/2024
#FISHIS24 - tropical grand round to finish off. HLH driven by typhus
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Patrick Lillie @pjlillie.bsky.social · 22/11/2024
#FISHIS24 - rising rates of GNBSI and targets to reduce them from UKHSA
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Patrick Lillie @pjlillie.bsky.social · 21/11/2024
#FISHIS24 - Barnett Christie lecture drugs for tropical infections / the infection physician
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Patrick Lillie @pjlillie.bsky.social · 20/11/2024
#FISHIS24 - sequencing and outbreaks, starting with measles
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Patrick Lillie @pjlillie.bsky.social · 20/11/2024
#FIS24 - arrived just in time for the first lecture fungal diagnostics / stewardship
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Patrick Lillie @pjlillie.bsky.social · 11/11/2024
#IDsky is there any procedure more satisfying than aspirating a TB lymph node in the neck? Diagnostic and therapeutic, crack on with TB therapy straight after. Always makes me a little happier after I’ve done it
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Patrick Lillie @pjlillie.bsky.social · 10/11/2024
Being able to ping ideas around with @phillipaburns.bsky.social +/- a couple of other colleagues really does help, certainly makes me more productive, not sure about my effect on them!
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Patrick Lillie @pjlillie.bsky.social · 07/11/2024
First impressions are good on here, mostly here for the educational / research bits but happy to discuss whatever….
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