in patients with prior rheumatic fever, long term penicillin (PO or IM) is recommended.

strength of evidence on duration of prophylaxis is variable, but here is some general guidance (based on AHA 2009 statement - pubmed.ncbi.nlm.nih.gov/19246689/)

#idsky

attending on ID - day 10

the antimicrobial approach to liver abscess depends on the microbiology and presumed mechanism.

please forgive my first attempt at an infographic
(second actually, i found a typo in the first try)

comments and suggestions welcomed.

#idsky

attending on ID - day 2

do we need to do an LP in PLWHIV and positive serum CrAg?

it depends on the titre (and which assay), the CD4 count, and whether there are symptoms.

the clearest guidance i found was here (an amazing reference for all things OI):
clinicalinfo.hiv.gov/en/guideline...

attending on ID - day 1

is there anything as satisfying as pulling out a classic 1979 review on serratia? classic! pubmed.ncbi.nlm.nih.gov/370597/

and for those interested in newer lit, an increasing prevalence of serratia IE - from OFID. ☹️ academic.oup.com/ofid/article...

#idsky

currently attending on GIM...

when searching for the cause of hyponatremia, the answer is always the same...multifactorial.

management is a bit more complicated, but here is a helpful guide:

#mededsky

seriously, this is so helpful. probably the ONLY thing teams does better than zoom.

@paulsaxmd.bsky.social