Questions discussed in this category
A patient on meloxicam for LBP developed high, persistent fevers and no other symptoms. An IGRA, among many tests, was sent. The IGRA’s mitogen ...
Would you send a CMV DNA PCR in blood, and if you elect to treat with anti-CMV medication, how long would you treat and what parameters would you use,...
For example, baseline QT prolongation, elderly age group, or underlying heart disease?
Are you aware of any data regarding relative risk of molluscum contagiosum infection in reference to DMARDs/biologics?
Are there any clinical trials underway to study additional therapies?
Data on the role of steroids in HIV negative patients with PJP has been conflicting.
https://www.cdc.gov/std/treatment-guidelines/neurosyphilis.htm
Is parasitemia >10% and severe hemolysis with Hb less than 7 enough to initiate this?
Assuming patient already received an initial course of antibiotic treatment in response to a positive urine culture during routine screening early in ...
The ESC guidelines recommend obtaining at least three sets of blood cultures at 30-minute intervals before starting antibiotic therapy, each with 10 m...
Hendriks, et al., PMID 38576380
ACORN Randomized Clinical Trial
Nussbaum et al., PMID 38195100
Would you still routinely ask for CIED removal, or would you pursue PET/CT for further evaluation and consider keeping CIED if PET/CT negative?
Do you empirically treat itchy patients -with a non specific rash- for scabies without obvious clinical findings for scabies?
The REPRIEVE trial included participants who were between 40 and 75 years old.
If yes, what is the rationale for doing that?
If yes, which combination(s)?
Do the findings of the PROPHY-VAP trial influence your approach?
Do the results of the recent study (Misset et al., PMID 37889107) showing reduction in 28-day mortality in patients with high neutralizing antibody ti...
Do you routinely offer latent TB treatment in these cases?
Do you extend the course of fidaxomicin past initial 10 days to at least 3-7 days after completion of antibiotics?
Is there a role for oral vancomycin in these patients, or is oral vancomycin redundant if other routes of administration are being used (i.e intracolo...
Is there a role for oral antiviral therapy alone (as opposed to induction with IV) and for what duration? And is there a role for ongoing suppressive ...
Especially in light of the results of the randomized clinical trial published on 8/2024 in Jama Internal Medicine by Hayward et al., PMID 38587819.
Would you combine antibiotics with isotretinoin?
Would it be safe to resume and if so, when?
Or would you still offer penicillin G benzathine once weekly concurrently?
Is there a role for booster vaccination and if so, how do you approach the timing when a patient is already on a biologic for immunosuppression?
In light of published data from the CAPE COD trial...
What is your approach to guiding ophthalmologists regarding our clinical suspicion for ocular syphilis and does the quantification of the titer help i...
Since the COVID-19 pandemic, increasingly we see management of acute cholecystitis with cholecystostomy tubes as opposed to surgery, even amongst pati...
If so, what antibiotic regimens do you use?
How do you approach ongoing screening for TB in patients with history of treated latent TB, but have ongoing use of DMARDs and/or biologics given quan...
At the time of count recovery or do you continue it throughout induction and consolidation?
E.g., for a patient with myeloma, s/p induction therapy, and high-dose chemotherapy, followed by autologous rescue with inappropriate antibody respons...
Additionally, is it correct to assume that IV therapies might be preferred vs oral treatment given alterations in GI absorption in PLE?
What’s your threshold to get the three AFBs and place the patient in airborne isolation?
How do you approach which risk to accept given that steroids have evidence for use in COVID-19 while is suggestion for harm in using steroids in influ...
Do you just use antibiotic prophylaxis if therapy is started prior to meningococcal vaccination?
Do you recommend any changes to their personal hygiene practices? or changes to their environment?
Infection is not part of the criteria for starting treatment both in UpToDate and in NCCN guidelines.
Would you switch to itraconazole or perform fungal cultures?
When would you consider repeating the course of treatment?
Does treatment with B-cell depletion and/or negative anti-spike antibody status despite COVID mRNA vaccination influence your decision?
Can experts comment on fungal pneumonia risk with individual BTK inhibitors as seen in ELEVATE-RR and whether this impacts their management decisions?
Is there a role for empiric antibiotics if there is history of opportunistic infection?
For example, healthcare workers who require these vaccines for employment
Do you stop methotrexate or adjust the dose?
Does your recommendation differ between autologous and allogeneic transplants?
Does your recommendation differ in allogeneic transplant recipients wh...
Is it at neutrophil recovery, at documentation of CR on bone marrow biopsy, or is there a different point in time?
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Papers discussed in this category
The New England journal of medicine, 2007-01-25
Arthritis Rheumatol, 2016 Jan
Arthritis care & research, 2017-03
Clin Exp Dermatol, 2018 May 24
Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2008-10
Clin Rheumatol, 2006 Dec 21
Rheumatol Int, 2020 Sep 18
N Engl J Med,
Mediterr J Rheumatol, 2020 Jun 11
Clin Infect Dis,
Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2011-03
Ann Rheum Dis, 2019 Aug 14
Seminars in hematology, 2013-07
J Clin Oncol, 2021 Jul 26
Journal of neurovirology, 2018-06
Scientific reports, 2017 Aug 10
Medical sciences (Basel, Switzerland), 2018-09-21
The Journal of clinical investigation, 2021 Dec 15
Molecular systems biology, 2023 Mar 15
BMJ open, 2024 May 13
Clin Microbiol Infect, 2018 Feb 07
Urology, 1982-09
Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2009-03
Clin Infect Dis, 2005 Jan 21
Pediatr Transplant, 2014 Sep 08
J Clin Oncol, 2021 Apr 30
Pediatr Infect Dis J, 2014 Nov
Bone Marrow Transplant, 2006 Mar
Perit Dial Int, 2022 Mar
PET Clin, 2020 Feb 11
Rheumatology (Oxford), 2022 Jul 22
Arthritis & rheumatology (Hoboken, N.J.), 2017-10
Ann Am Thorac Soc, 2017 May
MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports, 2021 Jul 23
Arthritis Care Res (Hoboken), 2016 Jan
Alimentary pharmacology & therapeutics, 2022 May 20
Curr Opin Infect Dis, 2023 Aug 1
JAMA, 2023 Jul 03
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017-11-29
Annual review of medicine, 2022 Nov 04
Circulation, 2015 Sep 15
The Annals of thoracic surgery, 2017 Feb 04
European heart journal, 2023 Oct 14
The Annals of thoracic surgery, 2016-06
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021 May 04
JAMA network open, 2022 Dec 01
International journal of antimicrobial agents, 2023 Jun 08
Pharmacy (Basel, Switzerland), 2023 Nov 20
International journal of antimicrobial agents, 2023 May 07
JAMA network open, 2024 Jan 02
Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia, 2023 Nov 24
Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia, 2023 Oct 26
EClinicalMedicine, 2022 Dec 01
Journal of clinical pharmacy and therapeutics, 2020 Sep 27
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019 Sep 13
European heart journal, 2023 Oct 25
Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2023 May 11
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2023 Jul 26
Infectious diseases and therapy, 2022 May 03
American journal of respiratory and critical care medicine, 2019 Oct 01
The New England journal of medicine, 2023 Apr 06
The Journal of antimicrobial chemotherapy, 2021 Jun 18
Sexually transmitted diseases, 1993 Nov-Dec
Arthritis and rheumatism, 2013-07
Rheumatology international, 2011 Feb 23
Arthritis & rheumatology (Hoboken, N.J.), 2023 Jun 01
Arthritis care & research, 2016 Jan
Lupus, 2014 Feb 06
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2009-07-01
Journal of medical case reports, 2014 Mar 04
Journal of oncology practice, 2018-09-04
Leukemia & lymphoma, 2022 Mar 15
Hematology. American Society of Hematology. Education Program, 2020 Dec 04
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2023 Sep 18
Current opinion in rheumatology, 2018 Jul
European journal of medical research, 2009 Dec 07
Annals of the rheumatic diseases, 2018 Jun 27
The Lancet. Infectious diseases, 2024 Jan 17
JAMA ophthalmology, 2017 Dec 01
Journal of the American College of Cardiology, 2023 Jan 31
JACC. Cardiovascular interventions, 2022 Jun 13
JACC. Cardiovascular imaging, 2017 Aug 16
The New England journal of medicine, 2018 Aug 28
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2023 Sep 11
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015-08-01
N Engl J Med, 2023 Mar 21
Journal of ophthalmic inflammation and infection, 2015-12
JAMA ophthalmology, 2024 Jan 01
Investigative ophthalmology & visual science, 2016 Feb
Ophthalmology. Retina, 2019 Mar 21
Retina (Philadelphia, Pa.), 2021 Feb 01
Archives of ophthalmology (Chicago, Ill. : 1960), 1995 Dec
Infection control and hospital epidemiology, 2018-05
Clinical microbiology reviews, 2018-10
JAMA internal medicine, 2018-10-01
American journal of respiratory and critical care medicine, 2021 Jan 15
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024 Apr 18
The New England journal of medicine, 2024 Apr 04
The Journal of infectious diseases, 1980 Mar
Antimicrobial agents and chemotherapy, 1976 Sep
Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2020 May 08
The Lancet. Infectious diseases, 2020 Dec 14
Open forum infectious diseases, 2023 Nov 24
The American journal of medicine, 1992-11
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017 Oct 30
Open forum infectious diseases, 2024 Mar 13
Circulation, 2008 Jun 09
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 1999 May-Jun
Nephrology (Carlton, Vic.), 2004 Jun
International ophthalmology clinics, 2022 Apr 01
Clinical ophthalmology (Auckland, N.Z.), 2020 Jul 08
Retinal cases & brief reports, 2022 Nov 01
Open forum infectious diseases, 2024 May 02
Lancet (London, England), 2021 Mar 27
Lancet (London, England), 2021 Mar 27
World journal of urology, 2013 Apr 30
JAMA internal medicine, 2024 Apr 08
The Cochrane database of systematic reviews, 2022 Aug 30
JAMA internal medicine, 2024 May 13
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018-05-17
The Annals of pharmacotherapy, 2023 Mar 22
Diagnostic microbiology and infectious disease, 2021 Jul 24
Open forum infectious diseases, 2023 Feb 02
Infection & chemotherapy, 2021 Jun
Retina (Philadelphia, Pa.), 2014 Sep
Eye (London, England), 2017 Jun 16
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2006-07-15
European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2021 Jul 22
Antimicrobial agents and chemotherapy, 2023 Jul 05
The Lancet. Neurology, 2009-08
Circulation, 2023 Dec 04
The Journal of infection, 2011-11
Alimentary pharmacology & therapeutics, 2006 Nov 15
Journal of tropical medicine, 2017 Feb 26
Lupus, 2014 Jul 30
MMWR. Morbidity and mortality weekly report, 2024 Sep 12
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024 Jul 19
The American journal of medicine, 2024 Mar 16
American journal of respiratory and critical care medicine, 2019 Nov 15
Journal of clinical microbiology, 2007-11
Journal of clinical microbiology, 2011-12
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2004 May 25
Open forum infectious diseases, 2021 Dec 18
Journal of the American College of Cardiology, 2019 Jul 16
American journal of infection control, 2020 Jun 02
Osong public health and research perspectives, 2020 Feb
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020 Nov 05
Clinical transplantation, 2022 Jan 20