Steve Muhi

Study finds wide variation in resistance patterns for travelers’ diarrhea

A study of the four leading bacterial causes of travelers' diarrhea found high nonsusceptibility to fluoroquinolones and macrolides, particularly in parts of Asia.

www.cidrap.umn.edu/a...

Possible nosocomial transmission of malaria 🦟 in 🇺🇸?!?

A 65M in NY developed severe P. falciparum malaria (16% parasitemia) after hospitalization for SDH.

Extensive tracing determined transmission at hospital with likely 🩸 borne transmission from returning traveler

#IDSky

doi.org/10.1093/ofid...

🛫 As Chair of the Scientific Program Committee, I am excited to announce that early bird registration is now OPEN for the 9th Southern Cross Australasian Travel and Tropical Medicine Conference (SCTMC) in Brisbane from 11–13 Sept 2026.

🛩️ Register here: sctravelmedconference.com/2026-registration/

Stay tuned for the first @cmicomms.bsky.social & #Breakpoints collaboration episode on Sun, May 4th 6PM US EST/Mon May 5th 12 AM CET. Hosts Angela Huttner & Erin McCreary interview SNAP trial investigators, Steven Tong &Joshua Davis, on PSSA and MSSA domain results shared at 2025 ESCMID Global.

How to treat flesh-eating Buruli ulcers

🩹 Guidelines on how to treat the flesh-eating Buruli ulcer (Mycobacterium ulcerans infection) have been developed by @TheDohertyInst @MenziesResearch @UniMelb

We wanted to share our experience of mentorship as it applies to AMS education across the region, written by both mentors and mentees #IDMedEd #IDSky #MedEd

Hmm… That imagine of the left is probably just propagating misconceptions of the disease and feeding stigma.

I’m an NTM nerd! I research Mycobacterium ulcerans ☺️ feel free to add me, too

remember stuff like this when they tell you that diversity means a lowering of standards

If just a ‘proof of concept’ phase 2, could you demonstrate trial intervention’s mortality rate without a control arm, and just compare to recent historical controls? Then at least you have human data to re-evaluate the ethical considerations of randomisation…

Advice for clinicians • Confirm acute dengue infection by sending EDTA (edetic acid) and serum samples to RIPL for serology and PCR analysis • Counsel the affected individuals regarding the risk of secondary or severe dengue infection • Inform regarding the upcoming availability of the vaccine via private prescription • Explain the need to present early before travel to ensure sufficient time for serological testing (wherever necessary) and for the administration of two doses of Qdenga over 3 months • Convey the fact that dengue vaccination does not negate the need for avoiding insect bites

New comment in The Lancet Microbe

New #dengue #vaccine for UK travellers: recommended only for those with a previous infection

www.thelancet.com/journals/lan...

#IDSky #ViroSky #ClinMicro #OpenAccess #OA

Spread of Antifungal-Resistant <em>Trichophyton indotineae</em>, United Kingdom, 2017–2024 Spread of Antifungal-Resistant <em>Trichophyton indotineae</em>, United Kingdom, 2017–2024

Spread of Antifungal-Resistant Trichophyton indotineae, United Kingdom, 2017–2024

@aabdolra.bsky.social et al

T indotineae (which is terbinafine resistant in 3/4 cases) has rapidly spread thru the UK, now comprising 38% of dermatophytes at the national reference lab

wwwnc.cdc.gov/eid/article/...

WHO looks back at 2024 Each year WHO takes stock of key moments in health and science over the past 12 months. Here is our review of a very complex 2024. Here’s to a healthier, more peaceful 2025!

WH0 2024 in review:
7 countries ( Brazil, Chad, India, Jordan, Pakistan, Timor-Leste, and Viet Nam) eliminated a neglected tropical disease in 2024, including human African trypanosomiasis, leprosy, lymphatic filariasis, and trachoma.
www.who.int/news-room/sp...

this must be the 𝘕𝘢𝘵𝘶𝘳𝘦 𝘐𝘮𝘮𝘶𝘯𝘰𝘭𝘰𝘨𝘺 basement, because look at all the supplemental figures

Getting so much attention from ID community
This is the 2d SRMA
The first 1 was published in 2023
by @drtoddlee.bsky.social & @dremilymcd.bsky.social
#idsky #medsky #EMIMCC
academic.oup.com/cid/article-...

Published on This Day in 1981. Pneumocystis carinii Pneumonia and Mucosal Candidiasis in Previously Healthy Homosexual Men — Evidence of a New Acquired Cellular Immunodeficiency An illustration showing the reproductive cycle of human immunodeficiency virus type 1 (HIV-1) and sites of action of the major classes of antiretroviral medications. The NEJM identity sits at the bottom.

On this day in 1981, a landmark paper in NEJM described four patients with evidence of immunodeficiency associated with PJP pneumonia, disseminated CMV, and Kaposi sarcoma. The disease would come to be known as HIV/AIDS. Revisit the paper: nej.md/41iekKD

#MedSky #IDSky

The role of vitamin D in the prevention and treatment of tuberculosis: a meta-analysis of randomized controlled trials - Infection Purpose To explore the role of supplementing vitamin D in the prevention and treatment of tuberculosis infection through a meta-analysis of randomized controlled trials. Methods The databases of PubMe...

🆕️✨️Meta-analysis of randomized controlled trials
The role of vitamin D in the prevention and treatment of tuberculosis #idsky #medsky #AMSsky #tbsky
link.springer.com/article/10.1...

I like to ask them what THEY want to learn about. Give them a day or more to think about it, there's no rush to plan. Invite them to think about a syndrome or pathogen which is relevant to a current patient. Then explore what they already know, and build up from there ☺️ #IDSky #MedEd #IDMedEd

Wake up babe, a new microbiology meme just dropped

#IDSky #MicroSky #MedSky

I'd love to be added! Thanks for creating this network :)

I’m seeing a new post every few minutes… you’re doing ok! Maybe worry too much 😉 🦋 💙

Final day of the international #Buruli ulcer conference here in Melbourne. I was invited to visit Basel, London, Paris, Antwerp and Kumasi. These are my people! #NTD #BU @tstinear.bsky.social

#BUSky (is this a BSky community yet?)

Day 1 of the International Mycobacterium ulcerans (Buruli ulcer) conference here at the University of Melbourne. Cases of BU continue to appear across Japan, cases in Africa decreasing... cases in Australia markedly increasing! #unimelb #idsky @tstinear.bsky.social

An ID rounds classic: FUO

#IDsky #medsky #oneofmyfavorites

Impact of vaccines in reducing antimicrobial resistance On Oct 10, 2024, WHO published a report highlighting the role of vaccines in the global fight against antimicrobial resistance (AMR). Titled Estimating the impact of vaccines in reducing antimicrobial...

Important reminder that optimising / minimising antibiotic use is not the only tool we have against rise of #AMR

#WAAW #IDSky #vaccines

www.thelancet.com/journals/lan...

Great thread, perfect timing for #AMR awareness week - I see this often in general hospital medicine. Better way quicker than expected? It’s ok to stop and watch 👀

Hello @bsky.app family!

Notes from the Field: First Locally Acquired Dengue ... This report describes the public health response after a case of dengue was reported in California.

When thinking about "Fever in a returned traveler", will need to consider Dengue in a person who traveled to the 🇺🇸, as
Dengue 📈, with locally-acquired cases in Florida, Texas, Hawaii, Arizona, & California

www.cdc.gov/mmwr/volumes...