Antonio Guerrero MD PhD
@guerreroespejo.bsky.social
Infectious diseases physician and clinical microbiologist | Valencia (Spain)
"Dive into 'The Plains of Passage' by Jean M. Auel!
Ayla and Jondalar trek across prehistoric european steppes in an odyssey of love, danger, and discovery.
📖🌍 #JeanMAuel #PrehistoricNovel"
Ayla and Jondalar trek across prehistoric european steppes in an odyssey of love, danger, and discovery.
📖🌍 #JeanMAuel #PrehistoricNovel"
November 17, 2025 at 5:15 PM
"Dive into 'The Plains of Passage' by Jean M. Auel!
Ayla and Jondalar trek across prehistoric european steppes in an odyssey of love, danger, and discovery.
📖🌍 #JeanMAuel #PrehistoricNovel"
Ayla and Jondalar trek across prehistoric european steppes in an odyssey of love, danger, and discovery.
📖🌍 #JeanMAuel #PrehistoricNovel"
A 75-YO♀️ 4 year of minocycline for chronic osteomielitis: a 3-year of gradually darkening facial skin, diffuse blue–gray #hyperpigmentation on her face & ears, with sparing of an area beneath her right eye, where she had received a skin graft 6 years before
1/2
DOI: 10.1056/NEJMicm2111130
#IDSky
1/2
DOI: 10.1056/NEJMicm2111130
#IDSky
November 17, 2025 at 6:46 AM
A 75-YO♀️ 4 year of minocycline for chronic osteomielitis: a 3-year of gradually darkening facial skin, diffuse blue–gray #hyperpigmentation on her face & ears, with sparing of an area beneath her right eye, where she had received a skin graft 6 years before
1/2
DOI: 10.1056/NEJMicm2111130
#IDSky
1/2
DOI: 10.1056/NEJMicm2111130
#IDSky
Detection of wild poliovirus type 1 in environmental sample in Germany
linked to WPV1 last identified from an environmental sample collected in Afghanistan.
No associated cases of paralysis have been detected in Germany.
www.who.int/europe/news/...
linked to WPV1 last identified from an environmental sample collected in Afghanistan.
No associated cases of paralysis have been detected in Germany.
www.who.int/europe/news/...
Detection of wild poliovirus type 1 in environmental sample in Germany
On 10 November 2025, the Global Polio Eradication Initiative (GPEI) was informed that wild poliovirus type 1 (WPV1) was isolated from an environmental (sewage) sample collected through routine surveil...
www.who.int
November 15, 2025 at 4:50 PM
Detection of wild poliovirus type 1 in environmental sample in Germany
linked to WPV1 last identified from an environmental sample collected in Afghanistan.
No associated cases of paralysis have been detected in Germany.
www.who.int/europe/news/...
linked to WPV1 last identified from an environmental sample collected in Afghanistan.
No associated cases of paralysis have been detected in Germany.
www.who.int/europe/news/...
- Fly bites,
- skin lesion in an asymptomatic traveler returned from Tanzania and
- a buffy coat smear ➕
1/3
doi.org/10.1016/j.id...
#parasitology #Medicine
- skin lesion in an asymptomatic traveler returned from Tanzania and
- a buffy coat smear ➕
1/3
doi.org/10.1016/j.id...
#parasitology #Medicine
November 15, 2025 at 8:57 AM
- Fly bites,
- skin lesion in an asymptomatic traveler returned from Tanzania and
- a buffy coat smear ➕
1/3
doi.org/10.1016/j.id...
#parasitology #Medicine
- skin lesion in an asymptomatic traveler returned from Tanzania and
- a buffy coat smear ➕
1/3
doi.org/10.1016/j.id...
#parasitology #Medicine
Avian flu continues to impact birds across #Europe, with limited human transmission risk.
Surveillance and biosecurity remain crucial to control outbreaks.
More info: www.ecdc.europa.eu/en/avian-inf...
#AvianFlu #PublicHealth
Surveillance and biosecurity remain crucial to control outbreaks.
More info: www.ecdc.europa.eu/en/avian-inf...
#AvianFlu #PublicHealth
Avian influenza
Avian influenza is an infectious viral disease mainly found in birds, but under certain circumstances infections can also occur in humans even though the risk is generally very low.
www.ecdc.europa.eu
November 14, 2025 at 9:45 AM
Avian flu continues to impact birds across #Europe, with limited human transmission risk.
Surveillance and biosecurity remain crucial to control outbreaks.
More info: www.ecdc.europa.eu/en/avian-inf...
#AvianFlu #PublicHealth
Surveillance and biosecurity remain crucial to control outbreaks.
More info: www.ecdc.europa.eu/en/avian-inf...
#AvianFlu #PublicHealth
A Pragmatic Trial of Glucocorticoids for Community-Acquired Pneumonia | New England Journal of Medicine www.nejm.org/doi/full/10....
A Pragmatic Trial of Glucocorticoids for Community-Acquired Pneumonia | NEJM
Adjunctive glucocorticoids may reduce mortality among patients with severe community-acquired
pneumonia (CAP) in well-resourced settings. Whether these drugs are beneficial in
low-resource settings...
www.nejm.org
November 13, 2025 at 6:51 PM
A Pragmatic Trial of Glucocorticoids for Community-Acquired Pneumonia | New England Journal of Medicine www.nejm.org/doi/full/10....
A 17-YO♂️ from Indian: 5 years of episodes of secondarily generalized tonic-clonic seizures.
MR: “hole-with-dot” sign in the brain parenchyma, scalp and facial muscles, and the tongue.
Two buff-colored translucent conjuctival cysts in his left eye
½
doi.org/10.4269/ajtm...
#IDSky #neurology
MR: “hole-with-dot” sign in the brain parenchyma, scalp and facial muscles, and the tongue.
Two buff-colored translucent conjuctival cysts in his left eye
½
doi.org/10.4269/ajtm...
#IDSky #neurology
November 12, 2025 at 7:39 AM
A 17-YO♂️ from Indian: 5 years of episodes of secondarily generalized tonic-clonic seizures.
MR: “hole-with-dot” sign in the brain parenchyma, scalp and facial muscles, and the tongue.
Two buff-colored translucent conjuctival cysts in his left eye
½
doi.org/10.4269/ajtm...
#IDSky #neurology
MR: “hole-with-dot” sign in the brain parenchyma, scalp and facial muscles, and the tongue.
Two buff-colored translucent conjuctival cysts in his left eye
½
doi.org/10.4269/ajtm...
#IDSky #neurology
#Chikungunya #virus disease- Global situation
Per available data from January to September 2025, 263 592 suspected and 181 679 confirmed CHIKV disease cases and 155 CHIKV disease-related deaths have been reported globally.
👇
www.who.int/emergencies/...
Per available data from January to September 2025, 263 592 suspected and 181 679 confirmed CHIKV disease cases and 155 CHIKV disease-related deaths have been reported globally.
👇
www.who.int/emergencies/...
November 10, 2025 at 5:55 AM
#Chikungunya #virus disease- Global situation
Per available data from January to September 2025, 263 592 suspected and 181 679 confirmed CHIKV disease cases and 155 CHIKV disease-related deaths have been reported globally.
👇
www.who.int/emergencies/...
Per available data from January to September 2025, 263 592 suspected and 181 679 confirmed CHIKV disease cases and 155 CHIKV disease-related deaths have been reported globally.
👇
www.who.int/emergencies/...
The #Global Burden of #Chagas Disease Study 2023 #updated estimates show decreasing prevalence and incidence in endemic countries, highlighting the importance of socioeconomic development, housing conditions, and vector-control policies.
New Research
Global, regional, and national burden of Chagas disease, 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023
www.thelancet.com/journals/lan...
Global, regional, and national burden of Chagas disease, 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023
www.thelancet.com/journals/lan...
Global, regional, and national burden of Chagas disease, 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023
The GBD 2023 Chagas disease estimates are notably higher than previous GBD estimates,
reflecting additional data and methodological improvements, and those published by
the Pan American Health Organiz...
www.thelancet.com
November 8, 2025 at 10:27 AM
Reposted by Antonio Guerrero MD PhD
#ArtificialIntelligence in Infection Surveillance:
Data Integration, Applications and Future Directions
www.sciencedirect.com/science/arti... #OpenAccess #infectiousdiseases #MicroSky #IDSky #MedSky
Data Integration, Applications and Future Directions
www.sciencedirect.com/science/arti... #OpenAccess #infectiousdiseases #MicroSky #IDSky #MedSky
November 8, 2025 at 9:08 AM
#ArtificialIntelligence in Infection Surveillance:
Data Integration, Applications and Future Directions
www.sciencedirect.com/science/arti... #OpenAccess #infectiousdiseases #MicroSky #IDSky #MedSky
Data Integration, Applications and Future Directions
www.sciencedirect.com/science/arti... #OpenAccess #infectiousdiseases #MicroSky #IDSky #MedSky
Between 20 September and 30 October 2025, a total of 404 confirmed human cases of Rift Valley fever (RVF), including 42 deaths, were reported by national health authorities in two West African countries: #Mauritania and #Senegal
www.who.int/emergencies/...
www.who.int/emergencies/...
November 8, 2025 at 7:12 AM
Between 20 September and 30 October 2025, a total of 404 confirmed human cases of Rift Valley fever (RVF), including 42 deaths, were reported by national health authorities in two West African countries: #Mauritania and #Senegal
www.who.int/emergencies/...
www.who.int/emergencies/...
10-year-old boy ♂️, handles sheep: nodule lesion in target pattern for 3 days, and another erythematous maculopapular lesion at a different stage of evolution; in the previous week, ipsilateral axillary lymphadenopathy.
½
continuum.aeped.es
#pediatrics #infectiousdiseases
½
continuum.aeped.es
#pediatrics #infectiousdiseases
November 3, 2025 at 10:00 AM
10-year-old boy ♂️, handles sheep: nodule lesion in target pattern for 3 days, and another erythematous maculopapular lesion at a different stage of evolution; in the previous week, ipsilateral axillary lymphadenopathy.
½
continuum.aeped.es
#pediatrics #infectiousdiseases
½
continuum.aeped.es
#pediatrics #infectiousdiseases
First clinical pregnancy following #AI-based microfluidic #sperm detection and recovery in non-obstructive azoospermia - The Lancet www.thelancet.com/journals/lan...
First clinical pregnancy following AI-based microfluidic sperm detection and recovery in non-obstructive azoospermia
Male factor infertility accounts for up to 40% of infertility cases,1 with azoospermia
and cryptozoospermia (conditions characterised by absent or extremely rare sperm in
the ejaculate) comprising app...
www.thelancet.com
November 2, 2025 at 12:51 PM
First clinical pregnancy following #AI-based microfluidic #sperm detection and recovery in non-obstructive azoospermia - The Lancet www.thelancet.com/journals/lan...
A 20-y-o♀️: sore throat, inflamed tonsils & 7 days of R upper quadrant pain; posterior cervical lymph nodes, &+ Murphy sign.
Leukocytosis &⏫liver enzymes.
CT: an enlarged gallbladder, thickened wall, pericholecystic fluid collection & hepatosplenomegaly. No stones
1/3
doi.org/10.1503/cmaj...
#IDSky
Leukocytosis &⏫liver enzymes.
CT: an enlarged gallbladder, thickened wall, pericholecystic fluid collection & hepatosplenomegaly. No stones
1/3
doi.org/10.1503/cmaj...
#IDSky
November 1, 2025 at 10:21 AM
A 20-y-o♀️: sore throat, inflamed tonsils & 7 days of R upper quadrant pain; posterior cervical lymph nodes, &+ Murphy sign.
Leukocytosis &⏫liver enzymes.
CT: an enlarged gallbladder, thickened wall, pericholecystic fluid collection & hepatosplenomegaly. No stones
1/3
doi.org/10.1503/cmaj...
#IDSky
Leukocytosis &⏫liver enzymes.
CT: an enlarged gallbladder, thickened wall, pericholecystic fluid collection & hepatosplenomegaly. No stones
1/3
doi.org/10.1503/cmaj...
#IDSky
A 42-year-old man: a 1-month of an intensely pruritic, migratory, moving a few millimeters to a few centimeters daily, serpiginous, erythematous raised tract on his right foot eruption after a vacation in Nigeria.
1/2
www.nejm.org/doi/abs/10.1...
#Dermatology #Medicine
1/2
www.nejm.org/doi/abs/10.1...
#Dermatology #Medicine
October 30, 2025 at 8:53 AM
A 42-year-old man: a 1-month of an intensely pruritic, migratory, moving a few millimeters to a few centimeters daily, serpiginous, erythematous raised tract on his right foot eruption after a vacation in Nigeria.
1/2
www.nejm.org/doi/abs/10.1...
#Dermatology #Medicine
1/2
www.nejm.org/doi/abs/10.1...
#Dermatology #Medicine
I love the work of #microbiologists when they diagnose!:
- In peripheral blood film, dividing forms of T. brucei (A) or ring form of P. falciparum (B)
or
- In stool, corticated Ascaris lumbricoides ovum (C) or
Trichuris trichiura ovum (D).
doi.org/10.4269/ajtm...
#microbiology #parasitology
- In peripheral blood film, dividing forms of T. brucei (A) or ring form of P. falciparum (B)
or
- In stool, corticated Ascaris lumbricoides ovum (C) or
Trichuris trichiura ovum (D).
doi.org/10.4269/ajtm...
#microbiology #parasitology
October 29, 2025 at 9:04 AM
I love the work of #microbiologists when they diagnose!:
- In peripheral blood film, dividing forms of T. brucei (A) or ring form of P. falciparum (B)
or
- In stool, corticated Ascaris lumbricoides ovum (C) or
Trichuris trichiura ovum (D).
doi.org/10.4269/ajtm...
#microbiology #parasitology
- In peripheral blood film, dividing forms of T. brucei (A) or ring form of P. falciparum (B)
or
- In stool, corticated Ascaris lumbricoides ovum (C) or
Trichuris trichiura ovum (D).
doi.org/10.4269/ajtm...
#microbiology #parasitology
64-YO male renal transplant: a tumour with dark pigmentation
in the Achilles región gradually growing in size.
🔬: (a) granulomatous infiltrate (b) thick-walled septate structures
🧫(a) grey-olivaceous colour. (b) 🔬 appearance
½
DOI: 10.1016/j.riam.2012.06.004
#microbiology #dermatology
in the Achilles región gradually growing in size.
🔬: (a) granulomatous infiltrate (b) thick-walled septate structures
🧫(a) grey-olivaceous colour. (b) 🔬 appearance
½
DOI: 10.1016/j.riam.2012.06.004
#microbiology #dermatology
October 26, 2025 at 5:06 AM
64-YO male renal transplant: a tumour with dark pigmentation
in the Achilles región gradually growing in size.
🔬: (a) granulomatous infiltrate (b) thick-walled septate structures
🧫(a) grey-olivaceous colour. (b) 🔬 appearance
½
DOI: 10.1016/j.riam.2012.06.004
#microbiology #dermatology
in the Achilles región gradually growing in size.
🔬: (a) granulomatous infiltrate (b) thick-walled septate structures
🧫(a) grey-olivaceous colour. (b) 🔬 appearance
½
DOI: 10.1016/j.riam.2012.06.004
#microbiology #dermatology
A 35-year-old male agriculturist: multiple asymptomatic swellings on the dorsum of right hand, both feet, and ankle region of 6 months’ duration, occasional yellowish discharge.
Cultures: pigmented fungi on Sabouraud's dextrose agar
doi: 10.4103/2229-5178.198770
1/2
#IDSky #Medicine #mycology
Cultures: pigmented fungi on Sabouraud's dextrose agar
doi: 10.4103/2229-5178.198770
1/2
#IDSky #Medicine #mycology
October 21, 2025 at 6:52 AM
#LongCOVID is here to stay—even in #children and can be exacerbated by reinfections and sustained by high viral circulation
The Lancet Infectious Diseases www.thelancet.com/journals/lan...
The Lancet Infectious Diseases www.thelancet.com/journals/lan...
Long COVID is here to stay—even in children
Post-acute sequelae of SARS-CoV-2 infection (PASC, also known as long COVID) are complex,
multisystem, long-lasting complications of SARS-CoV-2 infection that profoundly impact
the daily life of those...
www.thelancet.com
October 20, 2025 at 9:54 AM
#LongCOVID is here to stay—even in #children and can be exacerbated by reinfections and sustained by high viral circulation
The Lancet Infectious Diseases www.thelancet.com/journals/lan...
The Lancet Infectious Diseases www.thelancet.com/journals/lan...
56-year-old farmer, #Peru: Itching and pain in an erythematous, scaly, scarred area of the wrist for 8 years (a)
🔬: Brown muriform or fumagoid cells with a central septum (b)
🧫: Black, hairy colonies (c); hyphae and conidia (d)
½
dx.doi.org/10.4067/s071...
#IDSky #microbiology
🔬: Brown muriform or fumagoid cells with a central septum (b)
🧫: Black, hairy colonies (c); hyphae and conidia (d)
½
dx.doi.org/10.4067/s071...
#IDSky #microbiology
October 16, 2025 at 4:45 AM
56-year-old farmer, #Peru: Itching and pain in an erythematous, scaly, scarred area of the wrist for 8 years (a)
🔬: Brown muriform or fumagoid cells with a central septum (b)
🧫: Black, hairy colonies (c); hyphae and conidia (d)
½
dx.doi.org/10.4067/s071...
#IDSky #microbiology
🔬: Brown muriform or fumagoid cells with a central septum (b)
🧫: Black, hairy colonies (c); hyphae and conidia (d)
½
dx.doi.org/10.4067/s071...
#IDSky #microbiology
Global alert: #WHO reports rising monkeypox cases in Europe & Americas.
Surveillance & vaccination remain crucial for control.
More info: www.who.int/news/item/20...
#PublicHealth #InfectiousDiseases #Mpox
Surveillance & vaccination remain crucial for control.
More info: www.who.int/news/item/20...
#PublicHealth #InfectiousDiseases #Mpox
October 15, 2025 at 8:17 AM
Global alert: #WHO reports rising monkeypox cases in Europe & Americas.
Surveillance & vaccination remain crucial for control.
More info: www.who.int/news/item/20...
#PublicHealth #InfectiousDiseases #Mpox
Surveillance & vaccination remain crucial for control.
More info: www.who.int/news/item/20...
#PublicHealth #InfectiousDiseases #Mpox
22-year-old male with #eosinophilia, #asthma, and elevated IgE.
CT scan: multiple cylindrical #bronchiectasis with central predominance.
1/2
www.revista-portalesmedicos.com/revista-medi...
CT scan: multiple cylindrical #bronchiectasis with central predominance.
1/2
www.revista-portalesmedicos.com/revista-medi...
October 14, 2025 at 5:11 AM
22-year-old male with #eosinophilia, #asthma, and elevated IgE.
CT scan: multiple cylindrical #bronchiectasis with central predominance.
1/2
www.revista-portalesmedicos.com/revista-medi...
CT scan: multiple cylindrical #bronchiectasis with central predominance.
1/2
www.revista-portalesmedicos.com/revista-medi...
Outbreak of new COVID-19 variant in South Africa: Study in
@TheLancet reveals concerning mutations in the C.1.2 strain.
Possible increased transmissibility.
More information: thelancet.com/journals/lan.... #GlobalHealth
@TheLancet reveals concerning mutations in the C.1.2 strain.
Possible increased transmissibility.
More information: thelancet.com/journals/lan.... #GlobalHealth
October 13, 2025 at 5:30 AM
Outbreak of new COVID-19 variant in South Africa: Study in
@TheLancet reveals concerning mutations in the C.1.2 strain.
Possible increased transmissibility.
More information: thelancet.com/journals/lan.... #GlobalHealth
@TheLancet reveals concerning mutations in the C.1.2 strain.
Possible increased transmissibility.
More information: thelancet.com/journals/lan.... #GlobalHealth
🚨 New @TheLancet study: Global cholera cases rising in 2024, with severe outbreaks in conflict zones and linked to climate change.
Enhanced surveillance and safe water access are critical!
🔗: www.thelancet.com/journals/lan...
Enhanced surveillance and safe water access are critical!
🔗: www.thelancet.com/journals/lan...
October 13, 2025 at 5:15 AM
🚨 New @TheLancet study: Global cholera cases rising in 2024, with severe outbreaks in conflict zones and linked to climate change.
Enhanced surveillance and safe water access are critical!
🔗: www.thelancet.com/journals/lan...
Enhanced surveillance and safe water access are critical!
🔗: www.thelancet.com/journals/lan...