Marcos Rust
@mav-rust.bsky.social
MD. Infectious Diseases /Trop Med Specialist. 🇩🇪🇺🇸🇪🇸🇧🇷 ESCMID - SPA (subcommittee for professional affairs).
Yes. If confirmed 👍🏻
March 26, 2025 at 7:26 AM
Yes. If confirmed 👍🏻
Why cefazolin if the most common post influenza bacterial infection is due to Pneumococci? I would go for Amp/Sulb or Ceftriaxon. Depending on your MIC for Strep pneumoniae.
March 21, 2025 at 6:07 PM
Why cefazolin if the most common post influenza bacterial infection is due to Pneumococci? I would go for Amp/Sulb or Ceftriaxon. Depending on your MIC for Strep pneumoniae.
Hadn’t heard of it yet. I’ll read the article. 👍🏻
March 15, 2025 at 10:44 AM
Hadn’t heard of it yet. I’ll read the article. 👍🏻
Same here. No specific approach. If persistent I’d try to find a possible source (blood, skin, etc.).
March 5, 2025 at 9:05 PM
Same here. No specific approach. If persistent I’d try to find a possible source (blood, skin, etc.).
I agree with you. I would do the 8g/d Cefazolin/d
February 21, 2025 at 8:04 PM
I agree with you. I would do the 8g/d Cefazolin/d
As any other. 7-10 days. If the patient shows a rapid improvement and the edema is treated depending on the cause, 7 days. If not 10 days. Not longer than that. As important as the antimicrobial therapy here is to target the edema as trigger and prevent it.
February 19, 2025 at 6:19 PM
As any other. 7-10 days. If the patient shows a rapid improvement and the edema is treated depending on the cause, 7 days. If not 10 days. Not longer than that. As important as the antimicrobial therapy here is to target the edema as trigger and prevent it.
Treat it as such. Patient should wear medical high compression stockings to prevent future episodes bc lymphedema is a risk factor.
February 19, 2025 at 11:44 AM
Treat it as such. Patient should wear medical high compression stockings to prevent future episodes bc lymphedema is a risk factor.
Unfortunately I don’t. 😕
February 15, 2025 at 10:23 AM
Unfortunately I don’t. 😕
This is also a good combination!! I have done Ambisome + Voriconazol before. The main question was the combination until we reach therapeutic levels of Voriconazol.
February 13, 2025 at 9:16 AM
This is also a good combination!! I have done Ambisome + Voriconazol before. The main question was the combination until we reach therapeutic levels of Voriconazol.
That exactly what I do. He’s not doing well.
February 12, 2025 at 8:26 PM
That exactly what I do. He’s not doing well.
Nope! It is a complicated situation if this person is a caregiver or a cook. From a public health perspective it has to be individualized. Never had to though.
February 12, 2025 at 4:08 PM
Nope! It is a complicated situation if this person is a caregiver or a cook. From a public health perspective it has to be individualized. Never had to though.
That’s great! Thank you!
February 12, 2025 at 4:04 PM
That’s great! Thank you!
It is totally dependent on your MDR epidemiology and patient background (last time in the hospital, co-morbidities, known colonizations). I do not go always for carbapenems, but the MDR-rates here are really low.
February 2, 2025 at 2:01 PM
It is totally dependent on your MDR epidemiology and patient background (last time in the hospital, co-morbidities, known colonizations). I do not go always for carbapenems, but the MDR-rates here are really low.
Hey! Yes. He spent time in the Philippines. Diabetic. Epidemiologically speaking a typical case.
January 31, 2025 at 8:50 AM
Hey! Yes. He spent time in the Philippines. Diabetic. Epidemiologically speaking a typical case.
Yes! The carbapenems have a better prostate penetration but I went for Ceftazidime bc the focus was completely drained. Bactrim for extra 3 Wo.
January 30, 2025 at 11:04 AM
Yes! The carbapenems have a better prostate penetration but I went for Ceftazidime bc the focus was completely drained. Bactrim for extra 3 Wo.
If the prosthetics are being removed you don’t
January 29, 2025 at 6:39 PM
If the prosthetics are being removed you don’t
Approach? DAIR? I stage? II stages? About the therapy: Cefazolin + Rifampicin.
January 29, 2025 at 1:10 PM
Approach? DAIR? I stage? II stages? About the therapy: Cefazolin + Rifampicin.
Thank you!! Maybe we should exchange more often! I’m in Vorarlberg. Lots of interesting cases here. Not so far from you.
January 29, 2025 at 12:26 PM
Thank you!! Maybe we should exchange more often! I’m in Vorarlberg. Lots of interesting cases here. Not so far from you.
It depends. Type I, and the patient is seriously ill, I would go for Pip/Taz qid+ Clinda or Line for its anti-toxin effect.
January 27, 2025 at 8:19 PM
It depends. Type I, and the patient is seriously ill, I would go for Pip/Taz qid+ Clinda or Line for its anti-toxin effect.