TxID Early Career Network camwolfe Alfred Luk Theodore "Ted" Rader Michael Ison, MD MS Ricardo M. La Hoz Camille Nelson Kotton Maricar Malinis Laila Woc-Colburn, MD Todd McCarty πππ¨ββοΈ Alan Koff Neeraja Swaminathan Nick Marschalk Ann Woolley Yoram Puius, MD, PhD (he/him) Abby Cocco Ilan Schwartz MD PhD Agree. Always treat if donor or recipient Strongyloides serology +. If asymptomatic, 0.2mg/kg for 2 consecutive days and repeat in 2weeks is what we do. In Miami, we have an ivermectin universal prophylaxis policy. #TxIDChat
camwolfe Shweta Anjan Alfred Luk Theodore "Ted" Rader Michael Ison, MD MS Ricardo M. La Hoz Camille Nelson Kotton Maricar Malinis Laila Woc-Colburn, MD Todd McCarty πππ¨ββοΈ Alan Koff Neeraja Swaminathan Nick Marschalk Ann Woolley Yoram Puius, MD, PhD (he/him) Abby Cocco Ilan Schwartz MD PhD What ivermectin dosing strategy do you use at your center?! #TxIDChat
Shweta Anjan Alfred Luk Theodore "Ted" Rader camwolfe Michael Ison, MD MS Ricardo M. La Hoz Camille Nelson Kotton Maricar Malinis Laila Woc-Colburn, MD Todd McCarty πππ¨ββοΈ Alan Koff 2/
#TxIDChat - Wednesday, 6/14: Case #3
Question for the audience! Please engage by posting your comments & using #TxIDChat
Case resolution & discussion will be posted at 5PM!
Neeraja Swaminathan Nick Marschalk Ann Woolley Yoram Puius, MD, PhD (he/him) Abby Cocco Ilan Schwartz MD PhD Shweta Anjan
TxID Early Career Network Alfred Luk Theodore "Ted" Rader camwolfe Michael Ison, MD MS Laila Woc-Colburn, MD Todd McCarty πππ¨ββοΈ Alan Koff Neeraja Swaminathan Nick Marschalk Ilan Schwartz MD PhD Pratik βTikβ Patel, MD Stephanie Pouch Judith Anesi, MD MSCE Gabe π¦ Olivia Kates, MD Annette Hennigs Bug Pharmacist π𧫠Tim Gauthier Sam Aitken Iβd like more donor information- hospital los, duration of foley, antibiotics received so far, biopsy findings. Accept the kidney and treat recipient with Meropenem at least 7 days (monitor for complications- uti, pyelo, rare- arteritis). #TxIDChat
Infectious Diseases Community of Practice - AST Clinical Transplantation RA_Miller camwolfe Emily Blumberg Dan Kaul, MD Shandie Covington Ilan Schwartz MD PhD George Thompson Saima Aslam West Coast Transplant Infectious Diseases Society Michael Ison, MD MS Nancy Law 5/
That concludes our weeklong #TxIDChat series on Donor Calls by TxID Early Career Network
Special thanks to our crew Chelsea Gorsline MD Rebecca Kumar, MD Courtney Harris, MD, FACP and guest host Rachel Sigler for creating the cases and discussion!
Thanks to all for participating in the #TxIDChat !
π₯π₯ Out now: our first editorial from TxID Early Career Network with advice for #TxID job interviews, contract negotiation and early career development. Stay tuned for future editorial papers and #TxID Chat next week! Courtney Harris, MD, FACP Rebecca Kumar, MD
doi.org/10.1111/tid.14β¦
TxID Early Career Network camwolfe Ilan Schwartz MD PhD Alice Han Joseph Sassine Yoram Puius, MD, PhD (he/him) Steven βπ· & Vaccinatedβ Pergam, MD, MPH Michael Ison, MD MS Orla Morrissey Infectious Diseases Community of Practice - AST Julie Steinbrink Laila Woc-Colburn, MD Stephanie Pouch Ann Woolley Raymund Razonable Emily Blumberg Deeksha J. Ladani, MD Donor assessment raises many concerns- originally from Texas, recent travel to Mexico for a procedure with knowledge of outbreak, encephalitis with no clear diagnosis and broad differentials. Itβs a no for kidney (and other organs tbh) #TxIDChat
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Welcome back to Day 2 of the #TxIDChat Donor Call series by TxID Early Career Network
Tuesday, 6/13: Case #2
Questions on Tweet #2!
Shweta Anjan Alfred Luk Theodore "Ted" Rader camwolfe Michael Ison, MD MS Laila Woc-Colburn, MD Todd McCarty πππ¨ββοΈ Alan Koff Neeraja Swaminathan Nick Marschalk Ilan Schwartz MD PhD Pratik βTikβ Patel, MD
Chelsea Gorsline MD TxID Early Career Network Courtney Harris, MD, FACP Rebecca Kumar, MD Nice work! Did this take some of the #TxIDChat a few months ago and turn it into the editorial?
TxID Early Career Network camwolfe John Baddley Ann Woolley Todd McCarty πππ¨ββοΈ Tina Stosor Raymund Razonable Megan Morales, MD Michael Ison, MD MS Aruna Subramanian Maheen Abidi Zach Yetmar #TxIDChat I would accept that heart in a heartbeat! Would not treat the recipient with any antivirals. Thanks to the mentorship and hard work by camwolfe I feel confident this is a safe practice.
Pratik βTikβ Patel, MD TxID Early Career Network Courtney Harris, MD, FACP Rebecca Kumar, MD Yep. Weβve got a draft for the most recent #TxIDChat on protocol writing which will be out next!
Last day of #TxIDChat Donor Call series!
We are so thankful to all for participating! Please comment on the case today! TxID Early Career Network
Michael Ison, MD MS TransplantID Journal transplantid.net Deeksha J. Ladani, MD Aaron Mishkin Alan Koff Ruth Adekunle Yusra Alkabab ΩΨ³Ψ±Ψ§ Ω
ΨΩ
Ψ― Ψ§ΩΩΨ¨Ψ§Ψ¨ Ann Woolley John Baddley
CDC MSGERC Ilan Schwartz MD PhD Jessica Little, MD Andrej Spec, MD, MSCI 3/
Encephalitis/AMS of unclear etiology is a high-risk consideration, and appropriately treated meningitis can be considered in some cases, but this case raises too many βred flags without further testing in a kidney recipient.
Next case at 8AM tomorrow! #TxIDChat
TxID Early Career Network Shweta Anjan Alfred Luk Theodore "Ted" Rader camwolfe Michael Ison, MD MS Laila Woc-Colburn, MD Alan Koff Neeraja Swaminathan Nick Marschalk Ilan Schwartz MD PhD Pratik βTikβ Patel, MD Stephanie Pouch Judith Anesi, MD MSCE Gabe π¦ Olivia Kates, MD Annette Hennigs Bug Pharmacist π𧫠Tim Gauthier Sam Aitken Would anyone send a f/u urine culture to assess transmission clearance in the recipient? #TxIDChat
TxID Early Career Network Ilan Schwartz MD PhD Jessica Little, MD Tobias Hohl MD, PhD Gabe π¦ George Thompson Luis Ostrosky, MD, FIDSA MSGERC Peter G Pappas Andrej Spec, MD, MSCI Shmuel Shoham Todd McCarty πππ¨ββοΈ Tom Patterson RA_Miller Hannah Nam MD MSCI John Baddley Saima Aslam Alfred Luk Michael Ison, MD MS Shweta Anjan βFungusβ in the sputum could be anything. Accepting the organ would depend on the identification and determining if colonizer vs. pathogen. HbA1c 14 risk factor for Aspergillus/Mucor, CA risk factor for Cocci. βFungusβ could also be just Candidaβ¦ #TxIDChat
camwolfe Emily Eichenberger John Baddley Ann Woolley Todd McCarty πππ¨ββοΈ Tina Stosor Raymund Razonable Megan Morales, MD Michael Ison, MD MS Aruna Subramanian Maheen Abidi Zach Yetmar 2/
#TxIDChat - Thursday, 6/15: Case #4
Question for the audience‡οΈ! Please engage in comments & use #TxIDChat
Case resolution & discussion will be posted at 5PM!
Laila Woc-Colburn, MD Alan Koff Theodore "Ted" Rader Ilan Schwartz MD PhD Shweta Anjan Joseph Sassine Alfred Luk Jonathan Hand
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Welcome back to Day 3 of the #TxIDChat Donor Call series by TxID Early Career Network
Wednesday, 6/14: Case #3 below
Questions on Tweet #2!
Shweta Anjan Alfred Luk Theodore "Ted" Rader camwolfe Michael Ison, MD MS Ricardo M. La Hoz Camille Nelson Kotton Maricar Malinis Laila Woc-Colburn, MD Todd McCarty πππ¨ββοΈ Alan Koff
camwolfe Ilan Schwartz MD PhD Alice Han Joseph Sassine Yoram Puius, MD, PhD (he/him) Steven βπ· & Vaccinatedβ Pergam, MD, MPH Michael Ison, MD MS Orla Morrissey Infectious Diseases Community of Practice - AST Julie Steinbrink Laila Woc-Colburn, MD 2/
#TxIDChat - Monday, 6/12: Case #1
Question for the audience below! Please engage by posting your comments and using the hashtag #TxIDChat
Case resolution & discussion will be posted at 5PM!
Stephanie Pouch Ann Woolley Raymund Razonable Emily Blumberg Deeksha J. Ladani, MD
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Welcome back to Day 5 of the #TxIDChat Donor Call series by TxID Early Career Network
Friday, 6/16: Case #5 below
Questions on Tweet #2!
Ilan Schwartz MD PhD Jessica Little, MD Tobias Hohl MD, PhD Gabe π¦ George Thompson Luis Ostrosky, MD, FIDSA MSGERC Peter G Pappas Andrej Spec, MD, MSCI Shmuel Shoham Todd McCarty πππ¨ββοΈ Tom Patterson