Matthew Kuehnert
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mjkuehnert.bsky.social
Matthew Kuehnert
@mjkuehnert.bsky.social
MD, FACP, FIDSA. USPHS (ret).

Infectious disease doc.
Professor of Medicine.
Retweets not endorsement, opinions own.
Pinned
August issue of Emerging Infectious Diseases is now online!

Theme is "Mpox and other viral diseases."

Articles on spillover events, microsporidiosis acquired in the Sea of Galilee, and Mpox.

Our cover: "The Pockmarked Face of the Comte de Mirabeau", the scars of smallpox.

wwwnc.cdc.gov/eid/
Emerging Infectious Diseases - CDC
Emerging Infectious Diseases is a peer-reviewed, monthly journal published by the Centers for Disease Control and Prevention (CDC). It offers global health professionals the latest scientific informat...
wwwnc.cdc.gov
Reposted by Matthew Kuehnert
Although we tend to think about it less in the US, Hep E is the leading cause of *acute* hepatitis worldwide.

- associated with wild boar/undercooked pork
- more severe in pregnant people. - can cause chronic hepatitis in immunocompromise #IDSky

bmcinfectdis.biomedcentral.com/articles/10....
Serological and molecular characterization of hepatitis E virus and co-infections during the 2014 Biratnagar outbreak in Nepal - BMC Infectious Diseases
Introduction Hepatitis E virus (HEV) is a leading cause of acute viral hepatitis in South Asia, frequently causing waterborne outbreaks. Despite the recognized past and potential future epidemic burde...
bmcinfectdis.biomedcentral.com
October 23, 2025 at 1:24 PM
Reposted by Matthew Kuehnert
Our new issue is out, and includes research on

🦠 surveillance of iGAS in European countries and factors associated with severe iGAS and death in children & adolescents

📈 how COVID-19 modelling supported public health decisions in Europe

Read it here 🔗 www.eurosurveillance.org/content/euro...
October 23, 2025 at 2:39 PM
Reposted by Matthew Kuehnert
Increasing evidence of T. cruzi parasites in the United States in triatomine insects, domestic animals, wildlife, and humans challenges Chagas’ nonendemic label in US.

Autochthonous human cases have been reported in 8 states… #IDSky

wwwnc.cdc.gov/eid/article/...
Chagas Disease, an Endemic Disease in the United States
Chagas Disease, an Endemic Disease in the United States
wwwnc.cdc.gov
September 1, 2025 at 2:39 PM
Reposted by Matthew Kuehnert
Chagas disease is endemic in the United States. Full stop.

"Labeling the US as non–Chagas disease–endemic perpetuates low awareness and underreporting"

#IDSky #MedSky #Chagas

wwwnc.cdc.gov/eid/article/...
Chagas Disease, an Endemic Disease in the United States
Chagas Disease, an Endemic Disease in the United States
wwwnc.cdc.gov
September 4, 2025 at 4:51 PM
Reposted by Matthew Kuehnert
Rabies in an unmanaged cat colony.

No human cases but a large investigation.

Cat colonies aren't going away so we should manage them better. The amount of $ spent for this investigation could have covered a lot of spay/neuter/vaccination.
www.wormsandgermsblog.com/2025/08/arti...
www.wormsandgermsblog.com
August 28, 2025 at 1:16 PM
Reposted by Matthew Kuehnert
“People are relying too much on these text-extruding machines, and that will corrupt the scientific record”

cen.acs.org/policy/publi...
ChatGPT tends to ignore retractions on scientific papers
Study finds the chatbot doesn’t acknowledge concerns with problematic studies
cen.acs.org
August 26, 2025 at 10:46 AM
"..our findings highlight spread of WNV into northern France during the mosquito season. This new area of WNV circulation is a concern for physicians managing infected patients but also for blood, cell, or organ donations for which qualified donors are needed.."
#idsky
wwwnc.cdc.gov/eid/article/...
Two Cases of Autochthonous West Nile Virus Encephalitis, Paris, France, 2025
Two Cases of Autochthonous West Nile Virus Encephalitis, Paris, France, 2025
wwwnc.cdc.gov
August 20, 2025 at 4:07 PM
Reposted by Matthew Kuehnert
I would take this very seriously if contacted. Rabies can have a very long incubation time before symptoms develop. Post exposure prophylaxis administered in a timely manner is very effective.
“Health officials are working to alert hundreds of people in dozens of states and several countries who may have been exposed to rabies in bat-infested cabins in Wyoming’s Grand Teton National Park over the past few months.” cc @jackiantonovich.bsky.social
Hundreds may have been exposed to rabies at bat-infested cabins in Grand Teton National Park
As of Friday, none of the bats found in some of the eight linked cabins at Jackson Lake Lodge had tested positive for rabies.
www.nbcnews.com
August 16, 2025 at 2:21 AM
Reposted by Matthew Kuehnert
Just in case there was any doubt, ChatGPT 5.0 still makes up completely random citations that don't exist and should not be used for literature search.
August 16, 2025 at 6:57 AM
Reposted by Matthew Kuehnert
Without standard definition, long COVID remains a puzzle

The number of symptoms included in the studies ranged from 9 to 44.

www.cidrap.umn.edu/c...
August 13, 2025 at 8:27 PM
Reposted by Matthew Kuehnert
Study highlights antifungal use in US hospitals

Data from 412 US hospitals from 2018 through 2023 show 4.5% of patients received an antifungal, a finding researchers say warrants a specific focus on antifungal stewardship.

www.cidrap.umn.edu/a...
August 13, 2025 at 9:19 PM
Reposted by Matthew Kuehnert
🦟 West Nile virus in Europe

As summer progresses, IT, EL, RO, BG & FR have reported 163 locally acquired human cases of #WestNileVirus infection so far this year.

📊 This is above the 10-year average for this point in the season, but far below the same period in record years of 2024 & 2018.
Monthly updates: Seasonal surveillance in humans and animals in 2025 for West Nile virus
Monthly updates with the latest reports on West Nile virus cases in Europe.
bit.ly
August 13, 2025 at 3:57 PM
Reposted by Matthew Kuehnert
Earlier this year… “In this case report, we present a young adult with a history of chronic e-cigarette use diagnosed with pulmonary blastomycosis. The patient’s young age, lack of underlying health conditions… along with ambiguous imaging findings, posed a significant diagnostic challenge.”
August 13, 2025 at 12:52 PM
August issue of Emerging Infectious Diseases is now online!

Theme is "Mpox and other viral diseases."

Articles on spillover events, microsporidiosis acquired in the Sea of Galilee, and Mpox.

Our cover: "The Pockmarked Face of the Comte de Mirabeau", the scars of smallpox.

wwwnc.cdc.gov/eid/
Emerging Infectious Diseases - CDC
Emerging Infectious Diseases is a peer-reviewed, monthly journal published by the Centers for Disease Control and Prevention (CDC). It offers global health professionals the latest scientific informat...
wwwnc.cdc.gov
July 24, 2025 at 5:28 PM
Reposted by Matthew Kuehnert
#JustPublished!

Rapid Risk Assessment: Multi-country outbreak of #hepatitisA in the EU/EEA.

The spike in cases has been reported across Austria, Czechia, Hungary & Slovakia

Read full report here: bit.ly/3HOlL4E
and our press release here: bit.ly/4kNULAQ

#IDsky #EpiSky #MedSky
ECDC releases risk assessment with actions needed to address spike in hepatitis A cases
ECDC has issued a Rapid Risk Assessment in response to a multi-country outbreak of hepatitis A in the EU/EEA.
bit.ly
June 19, 2025 at 9:28 PM
July issue of Emerging Infectious Diseases is online!
wwwnc.cdc.gov/eid/

Theme is Spirochetes and other bacteria

Two unusual case reports on the "great imitator" syphilis.
Also featured: Mycoplasma phocimorsus human infection from a bear, Borrelia in flying foxes, mice as model for leptospirosis.
Emerging Infectious Diseases - CDC
Emerging Infectious Diseases is a peer-reviewed, monthly journal published by the Centers for Disease Control and Prevention (CDC). It offers global health professionals the latest scientific informat...
wwwnc.cdc.gov
June 26, 2025 at 3:24 PM
Reposted by Matthew Kuehnert
One ceftriaxone-resistant #typhoid case last year set us on a path that is now live on Emerging Infectious Diseases.
47 cases in months, resistance rose from 0 to 5%. We spoke with patients, sequenced samples. 4.3.1.2.B1 lineage+blaCTX-M-15 on pCROB1. #AMR #PublicHealth
wwwnc.cdc.gov/eid/article/...
Outbreak of Ceftriaxone-Resistant <em>Salmonella enterica</em> Serovar Typhi, Bangladesh, 2024
Ceftriaxone-Resistant <em>Salmonella</em> Typhi, Bangladesh
wwwnc.cdc.gov
June 23, 2025 at 4:19 PM
Feline #sporotrichosis:
"Asymptomatic carriers hinder sporotrichosis control efforts by delaying diagnosis and treatment. Screening all contacts of confirmed cases is essential to minimize the risk for transmission"
I'm really glad to share another fruit of the collaborative work we conducted with zoonotic sporotrichosis in the triple border region between Brazil, Paraguay, and Argentina.

Available here: wwwnc.cdc.gov/eid/article/...
June 10, 2025 at 3:07 AM
Measles virus diverged phylogenetically from rinderpest bovine virus. I did not know that.
Measles likely came from cows (via rinderpest) around the 6th century BCE.

For 2,500 years, we didn’t evolve superhuman resistance—children just died. Real protection only came in the 1960s, with vaccines.

Our superpower isn’t evolving into superhumans. It’s outthinking pathogens.
Measles virus and rinderpest virus divergence dated to the sixth century BCE
Measles virus diverged from rinderpest virus in the sixth century BCE, indicating an early origin for human measles.
www.science.org
June 1, 2025 at 10:50 PM
Reposted by Matthew Kuehnert
📚💙🌎🧰 #Bookdrop #booksky #epidemic

#The-American-Plague: The Untold Story of Yellow Fever, The Epidemic That Shaped Our History. a single summer in Memphis alone, it cost more lives than the Chicago fire, the San Francisco earthquake, and the Johnstown flood combined

os5.mycloud.com/action/share...
May 30, 2025 at 1:21 PM
Human immunity has to "want" to oscillate seasonally also...
May 31, 2025 at 1:06 PM
Reposted by Matthew Kuehnert
Scientists report first known cases of #tularemia in beluga whales

The long distances that whales often travel could further spread the disease, increasing exposure to people and wildlife, the authors say.

www.cidrap.umn.edu/t...

Photo: Linnie / Flickr cc
May 23, 2025 at 4:25 PM
EID's June issue is published!
Theme is #vectorborne infections.

Article topics include rickettsia in Cambodia, oropouche in Brazil, babesiosis in Italy, tularemia in Alaskan whales (!) and much more. #idsky

wwwnc.cdc.gov/eid/
Emerging Infectious Diseases - CDCCenters for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting Peoplehome4expandexpandexpandexpandexpandexpandedit_01 fil...
Emerging Infectious Diseases is a peer-reviewed, monthly journal published by the Centers for Disease Control and Prevention (CDC). It offers global health professionals the latest scientific informat...
wwwnc.cdc.gov
May 30, 2025 at 8:04 PM