Michael Rodgers
@prodgersmichael.bsky.social
MD, clinical microbiology. Nijmegen, the Netherlands.
Difficult case. Never seen Corynebacterium endocarditis before. Do you know which species?
Here I think we would de a PET scan to see if there is any other focus. And maybe start chronic suppressive therapy.
Here I think we would de a PET scan to see if there is any other focus. And maybe start chronic suppressive therapy.
November 18, 2025 at 8:09 PM
Difficult case. Never seen Corynebacterium endocarditis before. Do you know which species?
Here I think we would de a PET scan to see if there is any other focus. And maybe start chronic suppressive therapy.
Here I think we would de a PET scan to see if there is any other focus. And maybe start chronic suppressive therapy.
Interestingly this made me realise ‘endemic’ has different meanings in biology and epidemiology. If a reptile is endemic to New Zealand, it occurs nowhere else in the world. But if malaria is endemic somewhere, it can also occur in completely different regions of the world.
October 27, 2025 at 12:23 AM
Interestingly this made me realise ‘endemic’ has different meanings in biology and epidemiology. If a reptile is endemic to New Zealand, it occurs nowhere else in the world. But if malaria is endemic somewhere, it can also occur in completely different regions of the world.
Guess I’m misunderstanding something. Because the same questions can be asked for many others on the list
October 25, 2025 at 7:21 PM
Guess I’m misunderstanding something. Because the same questions can be asked for many others on the list
Why is tularemia on the list? It’s
also in the US? And isn’t CCHFV also found in… Congo?
also in the US? And isn’t CCHFV also found in… Congo?
October 25, 2025 at 7:20 PM
Why is tularemia on the list? It’s
also in the US? And isn’t CCHFV also found in… Congo?
also in the US? And isn’t CCHFV also found in… Congo?
In my mind it is strongly associated with (functional) asplenia and alcoholism.
October 6, 2025 at 7:29 PM
In my mind it is strongly associated with (functional) asplenia and alcoholism.
I like the quiz. Shared it with some colleagues too who enjoy it.
September 28, 2025 at 10:21 AM
I like the quiz. Shared it with some colleagues too who enjoy it.
What is Pruno?
September 25, 2025 at 12:58 PM
What is Pruno?
I would add something watery. Swimming in open water, nasal irrigation etc.
September 20, 2025 at 7:09 AM
I would add something watery. Swimming in open water, nasal irrigation etc.
Only one question a day allowed? I want to do more!
September 20, 2025 at 6:09 AM
Only one question a day allowed? I want to do more!
Rarely, but still we see it now and then. Hints are long time to positivity (>36 hours) and low clinical suspicion. Usually turns out to be a non-fermenter (one of the very low-pathogenic types).
September 15, 2025 at 7:14 AM
Rarely, but still we see it now and then. Hints are long time to positivity (>36 hours) and low clinical suspicion. Usually turns out to be a non-fermenter (one of the very low-pathogenic types).
A talk given by one of the chairs of our national medical ethical committee and prof. in epidemiology said a survey was done showing the ‘public’ accepts a pre-test probability of 30-70%. So we see equipoise as a probability of somewhere between 30-70% that the intervention is better.
August 15, 2025 at 8:11 PM
A talk given by one of the chairs of our national medical ethical committee and prof. in epidemiology said a survey was done showing the ‘public’ accepts a pre-test probability of 30-70%. So we see equipoise as a probability of somewhere between 30-70% that the intervention is better.
That would make doing any RCT’s impossible. Because then you should also say that if the pretest probability of benefit is higher than 50%, it is also unethical to withhold the intervention in an RCT. Meaning you can only ever do an RCT if the probability is exactly 50%.
August 15, 2025 at 8:09 PM
That would make doing any RCT’s impossible. Because then you should also say that if the pretest probability of benefit is higher than 50%, it is also unethical to withhold the intervention in an RCT. Meaning you can only ever do an RCT if the probability is exactly 50%.
Can your lab test specifically for dalbavancin susceptibility?
August 15, 2025 at 7:58 PM
Can your lab test specifically for dalbavancin susceptibility?
For me the ‘Maltese cross’ is something I always think of when thinking of Babesia. But maybe too detailed for the card.
August 15, 2025 at 7:56 PM
For me the ‘Maltese cross’ is something I always think of when thinking of Babesia. But maybe too detailed for the card.
Hi, just read this post. Great read! Also shared it with colleagues.
August 9, 2025 at 7:26 PM
Hi, just read this post. Great read! Also shared it with colleagues.
Why do you prefer amp-sulbactam?
July 30, 2025 at 6:27 PM
Why do you prefer amp-sulbactam?
Wow, interesting
July 28, 2025 at 4:24 PM
Wow, interesting
Seems to be going okay. Has been in use again for a few years.
July 27, 2025 at 7:16 PM
Seems to be going okay. Has been in use again for a few years.
I know, which is the reason why it disappeared from use in the Netherlands for decades. However now it’s being used more and more again, mostly iv.
July 27, 2025 at 7:11 PM
I know, which is the reason why it disappeared from use in the Netherlands for decades. However now it’s being used more and more again, mostly iv.
Ah I see, good point. Though it would be weird to find those in a blood culture. Never seen that myself.
July 27, 2025 at 7:10 PM
Ah I see, good point. Though it would be weird to find those in a blood culture. Never seen that myself.
Probably all zoonotic species. Never heard of the human commensal species causing serious infections.
July 26, 2025 at 8:17 PM
Probably all zoonotic species. Never heard of the human commensal species causing serious infections.
Was the patient asplenic or alcoholic?
July 26, 2025 at 8:16 PM
Was the patient asplenic or alcoholic?
Metamizole as well
July 26, 2025 at 8:11 PM
Metamizole as well
When you say hepatitis C is treated in primary care, do you mean GP’s are the ones prescribing the antivirals?
July 26, 2025 at 8:10 PM
When you say hepatitis C is treated in primary care, do you mean GP’s are the ones prescribing the antivirals?