Febrile

Future physician Sophie Samson, Dr. Kristen Bastug, and Dr. Beth Thielen discuss a case of a 7 year old girl who presented with new onset seizure, headache, and fever in Minnesota.

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Febrile is produced with support from the Infectious Diseases Society of America (IDSA)

Drs. Nahid Hiermandi and Kristen Valencia Deray discuss a case of fever and cough in an adolescent lung transplant recipient.

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Welcome to Season 4! Drs. Sarah Silverberg and Ian Kitai discuss the challenges in diagnosing and managing tuberculosis in children.

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Dr. Scott James joins for the Season 3 finale and match recap!

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In collaboration with Saudi Pediatric Infectious Diseases Society and the King Abdulaziz Public Library, Febrile episodes 86-88 are coming to you live from Riyadh!

In the last of three episodes, Dr. Rabab Alghaithi and Dr. Meshari Alabdullatif discuss a case of persistent MSSA bacteremia

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In the second of three episodes, listen to Dr. Fatimah Alshahrani and Dr. Abdullah Almohaizeie discuss carbapenem-resistance Acinetobacter!

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In collaboration with Saudi Pediatric Infectious Diseases Society and the King Abdulaziz Public Library, Febrile episodes 86-88 are coming to you live from Riyadh!

In the first of three episodes, listen to Dr. Efteraj Alhowity Dr. Bashayer Alshehail discuss MDR/DTR-Pseudomonas aeruginosa and carbapenemases from a global perspective.

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Celebrate World Antimicrobial Awareness Week with Drs. Rey Perez, Andrew Watkins, and Jonathan Ryder, who describe antimicrobial stewardship teams and share their strategies for navigating a message sent to the antimicrobial stewardship pager!  A introduction to being a Stewie!

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Future internal medicine physician Christine Pho and Drs. Daniel Stanton and Clinton White provide a sequel story to “Revenge of the Cyst”!

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A recap from IDWeek 2023.  Check out the guests/correspondents below!

Group 1:

• Dylan Koundakjian, third year internal medicine resident at Emory University, Atlanta, GA (who is applying to ID fellowship!)
• Jonathan Ryder, Assistant Professor at University of Nebraska Medical Center, Omaha, NE (who is back for this third IDWeek review!)
• Alainna Jamal, second year internal medicine resident at University of Toronto, Toronto, Canada
• Carlyn Harris, fourth year medical student at Emory University, Atlanta, GA (applying to internal medicine and internal medicine primary care)

Group 2:

• Bismarck Bisono-Garcia, second year adult ID fellow at Mayo Clinic, Rochester, MN
• Anais Ovalle, ID attending and Director of Population Health for internal medicine residents at Kent with Care New England - Brown affiliate, Providence, RI
• Kailynn Jensen, second year medical student at University of Nebraska Medical Center, Omaha, NE
• Bill Wilson, pediatric ID pharmacist specialist at UNC Childrens Hospital, Chapel Hill, NC
• Raul Macias Gil, ID attending and associate program director for ID fellowship at Harbor UCLA, Los Angeles, CA
• [and Jonathan Ryder, who was also in Group 1 above]

Please check out and sign up for the new IDSA PROUDLY ID Interest Group Community, which Anais, Bill, and Raul mentioned in the episode.  This platform is serving to provide a space for LGBTQIA+ advocacy, representation, and education.  The link is here: https://docs.google.com/forms/d/e/1FAIpQLSeMtfcT5OOB9akApk-7r7bT9h4MtoL-qDYxhRpBJq06N2R1FA/viewform?usp=sf_link

Group 3:

• Rija Alvi, second year adult ID fellow at Henry Ford, Detroit, MI (member of ID Digital Institute)
• Memar Ayalew, ID clinical pharmacist and co-director of antimicrobial stewardship at Walter Reed Hospital, Washington, DC (member of ID Digital Institute)
• Radhika Sheth, second year adult ID fellow, Oregon Health Sciences University (OHSU), Portland, OR (member of ID Digital Institute)
• Julie England, chief medical resident, University of Alabama Birmingham, Birmingham, AL (applying to ID!)
• Christina Lin, chief medical resident in research at Emory University, Atlanta, GA (applying to ID!)

The IDWeek Out-BREAK escape room

Part 1 featured the organizers of the escape room:

• Victoria Chu, second year pediatric ID fellow, University of California San Francisco, San Francisco, CA
• Diana Zhong, adult ID attending, University of Pittsburgh, ID Connect, Pittsburgh, PA
• As well as the other members of the planning committee:
• Katie Lusardi, ID PharmD, Baptist Health Medical Center, Little Rock, AR
• Justin Searns, pediatric ID attending at University of Colorado / Children’s Hospital of Colorado
• Juri Boguniewicz, pediatric ID attending at University of Colorado / Children’s Hospital of Colorado
• Paul Pottinger, adult ID attending, University of Washington Medical Center, Seattle, WA
• Liz Ristagno, pediatric ID attending, Mayo Clinic, Rochester, MN
• Rachel Wattier, pediatric ID attending, University of California San Francisco, San Francisco, CA
• Adarsh Bhimraj, adult ID attending, Houston Methodist, Houston, TX
• Natalie Gabriel, IDSA
• Sara Dong, adult and pediatric ID attending at Emory University, Atlanta, GA

Part 2 included 2 teams that experienced the escape room:

Team 1:

• Rebecca Kiliany, PharmD, Atrium Health, Charlotte, NC
• Dhananjay Kumar Sinha, nephrologist, Varanasi, Uttar Pradesh, India
• Sean Boger, ID physician, Atrium Health, Charlotte, NC
• Rupal Jaffa, ID PharmD, Charlotte, NC
• Julie Williamson, antimicrobial stewardship pharmacist, Atrium Health, Charlotte, NC
• Curtis Sudbury (first year pediatric ID and ICU fellow at Rainbow Babies, Cleveland, OH), Melissa Walton, and their son Craig

Team 2:

• Sarah Silverburg, pediatric ID fellow, Sick Kids, Toronto, Ontario, CA
• Sean Ong, ID physician from Singapore, current PhD candidate at University of Toronto, Ontario, CA
• Dara Petel, pediatric ID fellow, Sick Kids, Toronto, Ontario, CA
• Michael Prodanuk, pediatric ID fellow, Sick Kids, Toronto, Ontario, CA
• Jesse Veisblatt, internal medicine resident, Temple University, Philadelphia, PA
• Nouf AlSadoun, pediatric ID fellow, Sick Kids, Toronto, Ontario, CA
• Geraldine Huynh, pediatric ID fellow, Sick Kids, Toronto, Ontario, CA

The IDWeek 2023 BugBowl champions were from the Beth Israel Deaconess Medical Center (BIDMC) in Boston, MA.  You heard from:

• Abarna Pearl, third year adult ID fellow, BIDMC, Boston, MA
• Noah Rosenberg, third year internal medicine resident, BIDMC, Boston, MA (applying to ID!)
• Jaspreet Banga, third year adult ID fellow, BIDMC, Boston, MA

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Welcome to Febrile’s Curious Congenital Conundrums Part 2!! Drs. Gunjan Mhapankar and Justin Penner discuss approaching a call about a mother of a NICU baby with a new blistering rash.

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Welcome to Febrile’s Curious Congenital Conundrums Part 2!! Drs. Lizzy O’Mahony and Felicity Fitzgerald field a call about persistent fever in a baby boy.

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Welcome to Febrile’s Curious Congenital Conundrums Part 2!! Drs. Fionnuala Ryan and Alasdair Bamford discuss a NICU consult for neonatal sepsis with hepatosplenomegaly, rash, and elevated ferritin

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Welcome to Febrile’s Curious Congenital Conundrums Part 2!! Drs. Amedine Duret and Liz Whittaker kick off the series with the first episode featuring a mycobacterial malady affecting mother and baby!

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Drs. Noah Rosenberg, Nick Palmeri, and Wendy Stead discuss cardiac device infection diagnosis and management from the cardiology/EP and ID perspective!

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Welcome to Part 2 of this pair of episodes on management of antimicrobial resistant Gram-negative infections!! Drs. Hawra Al-Lawati and Pranita Tamma walk through the alphabet soup of CRE with 2 mini-cases.  Don’t miss the prior episode (Febrile #76) for more on AmpC and ESBL!

You can find the most updated 2023 IDSA Guidance at this link: https://www.idsociety.org/practice-guideline/amr-guidance

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Welcome to Part 1 of this pair of episodes on management of antimicrobial resistant Gram-negative infections!! Drs. Hawra Al-Lawati and Pranita Tamma walk through the alphabet soup of AmpC and ESBL with 3 mini-cases

You can find the most updated 2023 IDSA Guidance at this link: https://www.idsociety.org/practice-guideline/amr-guidance

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Luis Plaza from the “Let’s Talk Micro” podcast is our tour guide for the typical expedition that brings patient blood sample to blood culture result!

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In Part 2 of this pair of episodes, Drs. Rita Dib and Joseph Sassine zoom through the late infectious complications of CAR-T cell therapy.

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In Part 1 of this pair of episodes, Drs. Rita Dib and Joseph Sassine provide a background of CAR-T cell therapy (chimeric antigen receptor T cells) and steer you through the complications that might contribute to fever early after CAR-T.

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Turn around and listen to the bright minds of Drs. Annie Jacobs and Christopher Polk investigating two cases of pericardial effusion in the US and Kenya

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It’s time for an outbreak investigation of several MRSA cases in a NICU!  Join Annabelle de St. Maurice, Carol Vance, and Allison Bartlett as they take you through the steps of your hospital epidemiologist and infection preventionist team members!

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Drs. Anastasia “Tash” Theodosiou and Chrissie Jones chat about the diagnosis and management of Group A streptococcal infections and the recent increase in GAS cases in the UK

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Drs. Ralph Tayyar and Jessica Ferguson discuss the challenges of investigating invasive fungal infections in immunocompromised hosts and interpreting noninvasive fungal markers!

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Drs. Navina Birk and George Alangaden share an interesting diagnosis and how to approach donor-derived infections in transplant recipients

Have fun wrapping your head around this episode on meningitis and tips on how to approach the case as a clinical teacher.  Featuring a team from Emory University including medical student Katie Sharma, Dr. Amalia Aldredge, and Dr. Varun Phadke.  

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We’re back!  For the first episode of 2023, join Drs. Zach Lorenz, Morgan Walker, and Olivia Kates as they share lessons from a fungal case in the ICU.

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Happy 2nd Birthday to the show!! Thanks for listening and supporting Febrile for another year.  In this episode, Dr. Brad Cutrell and Sara provide updates on the US ID Fellowship Match results and discuss the landscape and challenges of ID recruitment.

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Drs. Cesar Berto and Christina Coyle discuss a case of brain calcifications

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Welcome to HAI School – A Febrile Bundle on Healthcare-Associated Infections!  Join Drs. Sam Schuiteman and Owen Albin for episode #4, which will cover ventilator associated pneumonia (VAP).  Don’t miss the prior episodes on CLABSI, CAUTI, and SSI.  The series runs from episodes 60-63!

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Welcome to HAI School – A Febrile Bundle on Healthcare-Associated Infections!  Join Drs. Jeremy Steinbruck and Nick Gilpin for episode #3, which will cover surgical site infections (SSIs).  Stay tuned for the last episode of the series next week and the prior episodes of CLABSI and CAUTI.  The series runs from episodes 60-63!

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Welcome to HAI School – A Febrile Bundle on Healthcare-Associated Infections!  Join Drs. Jeremy Steinbruck and Nick Gilpin for episode #2, which will cover catheter associated urinary tract infections (CAUTIs).  Stay tuned for the rest of the series, which are episodes 60-63!

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Welcome to HAI School – A Febrile Bundle on Healthcare-Associated Infections!  Join Drs. Jeremy Steinbruck and Nick Gilpin for episode #1, which will cover central line associated bloodstream infections (CLABSI).  Stay tuned with the following episodes over the next 3 weeks!

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Drs. Pratik Patel, Kevin Messacar, and Robin Patel provide a primer on molecular diagnostics, from the basics of DNA and RNA to navigating PCR and metagenomic next generation sequencing.

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Drs. Annie Jacobs, Shilpa Vasishta, Jonathan Ryder and Sara Dong reflect on their IDWeek 2022 experiences and share some clinical ID pearls and updates. Please see the IDWeek website for more information

If you want to grab some merch, don't forget to use the discount code "IDWEEK22". 15% off available through the end of Oct 2022!

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Drs. Jillian Hayes and Erin McCreary join for this crossover episode of Febrile & SIDP Breakpoints!  

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Dr. Rachel Britt kicks off a series of Febrile & SIDP Breakpoints collaboration episodes by chatting with Sara about working as an ID team!

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Drs. Jimmy McCluskey and Alice Sato discuss multisystem inflammatory syndrome in children (MIS-C)

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Dr. Darcy Wooten joins Sara to discuss the IDSA Medical Education Community of Practice ID Chalk Talk Project!

• The Teaching & Learning Resources Workgroup webpage can be accessed at  https://www.idsociety.org/mededcop
• Digital Education 2022: Building Skills, Community and the Future of Medical Education Conference information and registration available at https://cmecatalog.hms.harvard.edu/digital-education

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Drs. Pratik “Tik” Patel and Joshua Wolf discuss a case of an immunocompromised teenager with hypoxia.

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Dr. Saima Aslam gives an introduction to bacteriophage therapy!

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Gentamicin over a best-a-lactam?!  Listen in as Jame & Callum from the ID:IOTS podcast extoll the virtues of aminoglycosides in empiric therapy…and teach Sara some Scottish slang

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Drs. Emily Niehaus and Laura Certain take on the challenging topic of vertebral osteomyelitis 

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Dr. Kruti Yagnik joins for a rare case of fever in a returning traveler

Yagnik KJ, Pezo-Salazar A, Rosenbaum D, et al. A Wandering Missionary's Burden: Persistent Fever and Progressive Somnolence in a Returning Traveler. Open Forum Infect Dis. 2021;8(8):ofab377. Published 2021 Jul 15. doi:10.1093/ofid/ofab377

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Drs. James Wilson and Ryan Maves break down two episodes of fever in a returning traveler

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Drs. Shilpa Vasishta and Christina Coyle navigate us through fever in a returning traveler

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Drs. Nathan Nolan and Raagini Jawa discuss a case that traverses some of the intersections of ID and addiction medicine.

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Join Drs. Cesar Berto and Shweta Anjan as they take on this “disrespectful” bug causing trouble in a lung transplant recipient

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Michael Cosimini and Sara Dong chat about pediatric community acquired pneumonia and using games for learning about ID!

You teach me and I’ll teach you, bugs and drugs!!

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Drs. Sarah May Johnson and Fani Ladomenou discuss a case of neonatal HSV in the fourth case of the Febrile “Curious Congenital Conundrums” series

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Sara Dong & Arthur Jackson walk through a few recent papers they found interesting.

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Drs. Carsten Kruger, Clare Nourse, and Justin Penner discuss how they approach a case of congenital syphilis in the third case of the Febrile “Curious Congenital Conundrums” series.

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Dr. Julie Steinbrink joins Sara to chat about toxoplasmosis screening and prevention in transplant as well as useful resources from the American Society of Transplantation

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Drs. Ella Dzora and Jason Brophy discuss a case of congenital toxoplasmosis in the second case of the Febrile “Curious Congenital Conundrums” series.

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Dr. Jeremey Walker joins Sara for this Febrile Digest to discuss ID Fellows Cup and breakdown a few of the most commonly missed questions from prior game sessions. 

P.S. Want some Febrile swag?! Check out our new merch website to get yours today! https://febrile.bigcartel.com/

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Drs. Nuria Sanchez-Clemente and Hermione Lyall discuss a case of congenital CMV in the first case of the Febrile “Curious Congenital Conundrums” series

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Dr. Justin Penner joins Sara for this Febrile Digest to announce our upcoming series "Curious Congenital Conundrums" and to introduce the "SCORTCH" framework for congenital infections!

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Dr. Camille Kotton joins Sara to talk about refractory/resistant CMV and what she sees in the future for management of the troll of transplantation! 

Please consider filling out this survey to help us better understand utilization and satisfaction with the Febrile podcast and learning resource!  Your input will help guide future programming and only takes 5-10 min!!

https://hms.az1.qualtrics.com/jfe/form/SV_6o2iYLc1Sq7PMQC

We are conducting a research survey to better understand how Febrile is used and what can be improved!  Survey is voluntary, and all responses are anonymous.  If you have questions regarding this survey, please email [email protected].

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Dr. Scott Crabtree joins Sara for this Febrile Digest to discuss the Pharmageddon game and a few questions and pearls about Enterococcus. When do we treat Enterococcus in intra-abdominal infections? Are patients with Enterococcus + IAI at risk for treatment failure/death?

Don't forget!!  Please consider filling out this research survey to help us better understand how you use the Febrile learning resource and what can be improved!  Your input will help guide future programming and only takes 5-10 min!!

https://hms.az1.qualtrics.com/jfe/form/SV_6o2iYLc1Sq7PMQC

Survey is voluntary, and all responses are anonymous.  If you have questions regarding this survey, please email [email protected].

Check out the Kickstarter: https://www.kickstarter.com/projects/pharmageddon/pharmageddon-bugs-vs-drugs

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Drs. Kevin He and Joseph Sassine tackle the “troll of transplantation”, CMV!  

Please consider filling out this survey to help us better understand utilization and satisfaction with the Febrile podcast and learning resource!  Your input will help guide future programming and only takes 5-10 min!!

https://hms.az1.qualtrics.com/jfe/form/SV_6o2iYLc1Sq7PMQC

We are conducting a research survey to better understand how Febrile is used and what can be improved!  Survey is voluntary, and all responses are anonymous.  If you have questions regarding this survey, please email [email protected].

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Drs. Sara Dong & Arthur Jackson welcome you to the first "Febrile Digest"! These digest episodes will be short and sweet shows (<30 minutes) that will serve as a space for us to feature new papers from the literature, upcoming ID items, and/or interviews! These will be interspersed with our regular case-based episodes that come out every two weeks.

Don't forget!! Please consider filling out this research survey to help us better understand how you use the Febrile learning resource and what can be improved!  Your input will help guide future programming and only takes 5-10 min!!

https://hms.az1.qualtrics.com/jfe/form/SV_6o2iYLc1Sq7PMQC

Survey is voluntary, and all responses are anonymous.  If you have questions regarding this survey, please email [email protected].

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Drs. Jonathan Ryder and Nico Cortes-Penfield take us through the evidence and their approach to prosthetic joint infections!

Please consider filling out this survey to help us better understand utilization and satisfaction with the Febrile podcast and learning resource!  Your input will help guide future programming and only takes 5-10 min!!

https://hms.az1.qualtrics.com/jfe/form/SV_6o2iYLc1Sq7PMQC

We are conducting a research survey to better understand how Febrile is used and what can be improved!  Survey is voluntary, and all responses are anonymous.  If you have questions regarding this survey, please email [email protected].

Link for registration for IDSA Fellows Peer Mentorship Program: https://docs.google.com/forms/d/e/1FAIpQLSdSBny4BGbo3-LTcv0mBd5IIJ7nHQXvTJhoEY0FAuMO3BrSZA/viewform

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Dr. Rebecca Kumar joins Sara to provide overview of ventricular assist device infections!

Help us better understand utilization and satisfaction with the Febrile podcast and learning resource!  Your input will help guide future programming and only takes 5-10 min!!

https://hms.az1.qualtrics.com/jfe/form/SV_6o2iYLc1Sq7PMQC

We are conducting a research survey to better understand how Febrile is used and what can be improved!  Survey is voluntary, and all responses are anonymous.  If you have questions regarding this survey, please email [email protected].

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Welcome to Season 2!  Drs. Alejandra Mendoza and John Wilson discuss a complex case of co-infection in a patient who presented with altered mentation.

Help us better understand utilization and satisfaction with the Febrile podcast and learning resource!  Your input will help guide future programming and only takes 5-10 min!!

https://hms.az1.qualtrics.com/jfe/form/SV_6o2iYLc1Sq7PMQC

We are conducting a research survey to better understand how Febrile is used and what can be improved!  Survey is voluntary, and all responses are anonymous.  If you have questions regarding this survey, please email [email protected].

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Happy Birthday to Febrile! Host Dr. Sara Dong celebrates the first anniversary of the show, provides updates on the US ID Fellowship Match results, and compares-and-contrasts the newest IDSA and ESCMID recommendations for treating resistant gram negative infections.

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Drs. Jordan Mah and Ilan Schwartz unravel a case of a patient with fevers and miliary pattern on chest imaging.

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Drs. Mohamed Bohlega and Varun Phadke share how to sort and develop your differential diagnosis for culture negative infective endocarditis!

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Dr. Thomas Russo discusses a sticky gram negative bug!

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Evelyn Wu and Dr. Lucy Marquez run through two cases of acute diarrhea in children!

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Drs. Jonathan Ryder and Sara Dong take you through a whirlwind tour of some selected IDWeek 2021 sessions

We would like to thank the presenters, moderators, and organizers of IDWeek2021.  Please see IDWeek website for more information as well as the Consult Notes for links to the referenced articles.

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Join Dr. Saira Butt as we discuss resources for studying ID, preparing for board examinations, and a few fun assorted ID cases!

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Fine tune your syphilology prowess with Drs. Zach Lorenz and Khalil Ghanem!

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Are you HOPE-ing to learn more about organ transplantation in people living with HIV? Listen as Drs. Ashka Patel and Jennifer Husson take us through the pre- and post-transplant process for these patients.

Join Lea Goren, Dr. Alice Lehman, and Dr. Beth Thielen as they solve a case of knee swelling and limp!

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Dr. Peter Krause helps us through a case of summertime fever and approaching tick-borne illnesses.

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Ch-check out Drs. Kevin He and John Perfect as they discuss a fungal case

Dr. Leslie Enane walks us through her steps to caring for an infant born to a mother with HIV and approaching an adolescent living with HIV.

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Dr. Rebecca Zash shares her advice on approaching a new diagnosis of HIV during pregnancy.

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Dr. Meredith Clement schools us in everything you need to know about HIV pre-exposure prophylaxis (PrEP)!

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Join Dr. Darcy Wooten in HIV clinic to discuss a new diagnosis of HIV!

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Drs. Frances Ue and Lou Ann Bruno-Murtha solve a mystery case of persistent fever.

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You’ll be a true believer after Dr. Rebecca Wallihan pilots us through a case of fever and hepatosplenic lesions!

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Dr. Juri Boguniewicz joins us to evaluate a grumpy toddler with chest wall swelling.

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Dr. Tara Vijayan explains her approach to positive blood cultures and how to evaluate for possible aortic graft infection.

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Dr. Thea Brennan-Krohn is consulted for a critically ill teenager with a recent sore throat.

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Dr. Ruvandhi Nathavitharana provides a master class on pulmonary NTM disease

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Dr. Jill Weatherhead tackles fever of unknown origin and eosinophilia in this episode.  What will she find?

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Dr. Anu Hazra leads us through a medley of cases in STI clinic!

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Dr. Gabriella Lamb walks us through a case of pediatric abdominal pain which leads to not one, but two new diagnoses!

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Listen as our guest, Dr. Nicole Theodoropoulos, breaks down the pre-transplant evaluation and a few obstacles in a transplant recipient’s tale.

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What infections tie together brain and lung lesions? Follow our guest, Dr. Gerome Escota, as he travels the winding road through this complicated case.

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Which infections jump to mind in the setting of asplenia? Join our guest, Dr. Wendy Stead, as she walks through her approach to sepsis in a patient with purpura fulminans and history of splenectomy.

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Welcome to Febrile, a cultured podcast about all things infectious disease! Listen in as Sara gives a quick introduction about the project and the Febrile mission.