iiinova — where your digital self keeps evolving

Stefano Di Bella, MD @stefanodibella.it · 05/10/2026

🧫 Mycoplasma & Ureaplasma are not one resistance phenotype. 🇮🇹 5-year data: Ureaplasma spp. → ciprofloxacin R 39.5% M. hominis → azithromycin R 60.5% Species identification matters. 📄 doi.org/10.1089/mdr.... #IDSky #AMR #ClinMicro #MedSky

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Stefano Di Bella, MD @stefanodibella.it · 04/10/2026

🔎 Any idea what this strange blue object was used for? The “Blue Henry” (Blauer Heinrich) was a portable sputum flask used by tuberculosis patients. It even appears in Thomas Mann’s The Magic Mountain, set in a tuberculosis sanatorium. 🎨 Artwork by Anna Dumitriu. #IDSky #Tuberculosis

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Stefano Di Bella, MD @stefanodibella.it · 04/10/2026

🦴 Spondylodiscitis with neurological deterioration: decompression does not necessarily mean stabilization. In selected patients, decompressive laminectomy was associated with neurological recovery, pain relief, and no delayed arthrodesis. 📄 doi.org/10.3390/jpm1...

Infographic showing outcomes after decompressive laminectomy for neurological complications of spondylodiscitis. Preoperative and 6-month spinal MRI images are shown alongside progressive improvements in pain (VAS 6.3 to 1.4), lower-limb neurological function (Cooper score 2.7 to 0.6), functional status (mJOA 10.3 to 16.0), and CRP (123.9 to 19.4 mg/L). The series included 15 patients; 80% underwent surgery within 48 hours, 73% had thoracic involvement, 60% had positive cultures, and S. aureus accounted for 7 of 9 positive cultures.

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Stefano Di Bella, MD @stefanodibella.it · 13/09/2026

Sweet syndrome beyond the skin. Ulcerated cutaneous lesions with extensive oral involvement in classical Sweet syndrome—an uncommon presentation with a broad differential diagnosis. Ragonesi S et al., Dermatology Reports, 2026 doi.org/10.4081/dr.2...

Clinical photographs showing Sweet syndrome with mucocutaneous involvement: multiple erythematous papulonodular and vesicular lesions on the face and neck, together with bilateral ulcerative lesions of the tongue covered by fibrin.

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Stefano Di Bella, MD @stefanodibella.it · 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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Stefano Di Bella, MD @stefanodibella.it · 13/09/2026

Can fosfomycin rescue temocillin activity against KPC-K. pneumoniae? In KPC-Kp isolates, temocillin + fosfomycin showed 91% synergy. In 97% of temocillin-resistant isolates, fosfomycin restored temocillin susceptibility The combination also improved survival in animal model. 👉 lnkd.in/d8fZQ3Y9

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Stefano Di Bella, MD @stefanodibella.it · 02/09/2026

🧠🦠 Tick-borne encephalitis (TBE) is more than meningitis or encephalitis. Clinical manifestations, diagnosis, epidemiology, treatment and prevention — with a focus on emerging neurological features. 📄 Read our review: www.infezmed.it/media/journa... #TBE #TickBorneEncephalitis #InfectiousDiseases

Tick-borne encephalitis (TBE): review on clinical manifestations, diagnosis, epidemiology, treatment, prevention and neurological complications.

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Stefano Di Bella, MD @stefanodibella.it · 08/08/2026

Syphilis changed fashion. Yes, really. 👀 Wigs could hide hair loss, while facial patches may have concealed scars or skin lesions. From syphilis to plague, TB, HIV/AIDS and COVID-19, infections have shaped fashion through history. 📖 rosa.uniroma1.it/rosa01/medic...

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Stefano Di Bella, MD @stefanodibella.it · 30/06/2026

🚨 Campylobacter spp. bacteremia 🦠🩸 Happy to share our new systematic review & meta-analysis 📊✨ ✅ 25 studies ✅ 2,480 patients ✅ case-fatality risk: 5% Higher mortality was associated with: 🧫 C. fetus 🛡️ immunocompromised status 🟤 chronic liver disease 📖 lnkd.in/duJQgHR4

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Stefano Di Bella, MD @stefanodibella.it · 03/04/2026

🦠 Ecthyma gangrenosum: don’t miss it A small necrotic skin lesion in a neutropenic patient can be the only sign of a life-threatening infection. Think Pseudomonas aeruginosa → act fast with empirical therapy. 🚀 Early recognition saves lives. 📄 Read more: rdcu.be/fbuu1

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Stefano Di Bella, MD @stefanodibella.it · 12/03/2026

🚨 This “skin cancer” in a kidney transplant recipient turned out to be something very different. We report a rare cutaneous Scedosporium infection that clinically mimicked post-transplant malignancy — a potentially dangerous diagnostic pitfall. doi.org/10.1016/j.di...

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Stefano Di Bella, MD @stefanodibella.it · 26/01/2026

European Journal of Pharmacology (2026) We explore the therapeutic potential of butyrate supplementation in sepsis: gut barrier protection, immune modulation, metabolic reprogramming. Nice preclinical evidence; clinical translation remains an open challenge. DOI: 10.1016/j.ejphar.2026.178594

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