Clare Warrell

Published today. We found that hepatitis B was the leading cause of cirrhosis and HCC in southern Malawi. HCC is diagnosed at a very late stage. Huge opportunity to prevent liver-related death with community hepatitis B test and treat programmes. #hepsky #idsky

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

A clinical practice guideline for tuberculous meningitis Tuberculous meningitis is the most severe form of tuberculosis, causing death or disability in around half of those affected. There are no up-to-date international guidelines defining its optimal mana...

A clinical practice guideline for tuberculous meningitis

Tuberculous Meningitis International Research Consortium

www.thelancet.com/journals/lan... 🔒

Four Deaths in Florida This Year From Vibrio vulnificus Infections Cases and deaths in the state are down from the 2 previous years. Here are some clinical considerations, treatment options, and prevention strategies in relation to these infections.

Cases and deaths in the state are down from the 2 previous years. Here are some clinical considerations, treatment options, and prevention strategies in relation to these infections. #IDsky #Medsky

First Case of Neuroinvasive Oropouche Virus in Wisconsin: A Case Report Oropouche virus (OROV) is a re-emerging arbovirus that poses a yet undetermined degree of threat to the United States (US), with outbreaks reported in the Caribbean and South America, including new areas of spread, since the end of 2023.

First Case of Neuroinvasive Oropouche Virus in Wisconsin: A Case Report

✅ Just Accepted
#IDSky

YouTube video by Centers for Disease Control and Prevention (CDC) Murine Typhus: A Re-emerging Threat in the United States

youtu.be/olqQj_t8QzA?...

#PublicHealth #Zoonosois #IDSky #InfectiousDisease

🧵 Dengue is no longer just a tropical disease - it's showing up in Europe.

This season, France, Italy, and Portugal (Madeira) have already reported locally acquired dengue cases.

Check the latest #CDTR on #dengue here: bit.ly/3TQpDVu

#IdSky #EpiSky #MosquitoBorne #Prevention #PublicHealth

Neurocysticercosis school outbreak in Belgium Human cysticercosis results from ingesting microscopic Taenia solium eggs shed by a tapeworm carrier, forming cystic larvae (ie, cysticerci) in tissues. These larvae normally encyst in the pig, the natural intermediate host. Upon consumption by humans, they develop into a new intestinal tapeworm. Affecting the human brain, neurocysticercosis is responsible for a third of epilepsy cases in endemic tropical and subtropical regions.1,2

1/ Imagine being a kid, just vibing at school, when boom—a tapeworm decides to set up camp in your brain. 🧠🏕️
Welcome to the wildest, most unexpected outbreak Belgium has seen. And no, this isn’t an episode of House MD but it reads like it.
I love ID #IDSky #MedSky
www.thelancet.com/journals/lan...

Key public health message What did you want to address in this study and why? The parasite Toxoplasma gondii can cause severe disease in humans. People can acquire the parasite by eating raw or undercooked infected meat or unwashed fruits or vegetables contaminated with the parasite. We wanted to investigate T. gondii in commercial ready-to eat (RTE) salads in European countries to estimate the importance of these food products as sources of T. gondii. What have we learnt from this study? Using a molecular method, we detected T. gondii in 4.1% of 3,293 RTE salad samples from 10 European countries. Sampling in winter season, sampling and packaging of salad in Northern Europe and salad grown in Western Europe were associated with detection of T. gondii from salad samples. What are the implications of your findings for public health? As RTE salads are intended to be consumed raw without further processing, T. gondii in salad from European countries may lead to infections in humans. Measures to prevent and control contamination of salads are necessary. Further washing of RTE salads might be recommended for specific risk groups such as pregnant people.

🥗 Washing your salad before you eat it is always a good idea, even if it is a "ready-to-eat" product

Calero-Barnal et al. tested 3,329 samples from 10 European countries for Toxoplasma gondii

Here's what they found 👉🏽 bit.ly/EUS30TG

#EpiSky #IDSky #FoodSafety #PublicHealth

Tetanus: recognition and management Currently a rarity in high-income countries, tetanus is a diagnosis not to miss. Deaths from tetanus fell by almost 90% between 1990 and 2019, largely reflecting the success of WHO's Maternal and Neon...

Tetanus: recognition and management. A comprehensive review in @thelancetinfdis.bsky.social with a brilliant group of co-authors. www.thelancet.com/journals/lan...

📣 ID/HIV Job opportunity: ST3+ Infectious Diseases Clinical Fellow at University College London Hospital/Hospital for Tropical Diseases from September 2025. Deadline 1/7/25 www.nhsjobs.com/job/UK/Londo...

Image showing the table of content of issue 19 in 2025: Rapid communication Air and surface sampling for clade Ib monkeypox virus in United Kingdom hospitals, 2024 to 2025 Research Human infections with Eurasian avian-like swine influenza virus detected by coincidence via routine respiratory surveillance systems, the Netherlands, 2020 to 2023 Review Frameworks to support evidence-informed decision-making in public health and infectious disease prevention and control: a scoping review Users’ experience of frameworks to support evidence-informed decision-making in public health: a scoping review

Check out our new issue 🗞️ bit.ly/EUS3019

Findings from the rapid communication by Atkinson et al. underscore the importance of infection prevention & control measures #IPC as viable clade Ib #MPXV contamination can occur during treatment of #mpox patients

#IDSky #EpiSky #MedSky #PublicHealth

Cave-Associated Histoplasmosis Outbreak ... This report describes a cluster of suspected histoplasmosis cases affecting 12 members of an extended family who had all visited the Venado Caves in Costa Rica.

Outbreak of 12 probable/confirmed histoplasmosis cases amongst travelers to 🇨🇷.

All cases included:
✅ spending significant times in caves
✅ saw 🦇
✅ had direct contact with 🦇 droppings

Most pts improved without treatment.

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

#IDSky

Transmission and clinical manifestations of leptospirosis in humans

doi.org/10.1038/s415...

#IDSky

Too Much Coffee: A Rare Cause of Sore Throat A 25-year-old male from Guatemala presented to the clinic with a 5-year history of sore throat, associated with odynophagia and dysphagia for solids. He re

Quick bit of CPD for a Sunday morning.

Had not appreciated association between this infection & coffee...

#IDSky #ClinMicro @cidjournal.bsky.social

academic.oup.com/cid/advance-...

Oropharyngeal leech infestation as a cause of severe anemia in a 65-year-old male patient: a case report Blood-tinged saliva, light-headedness, difficulty speaking and a foreign body sensation in the throat were all reported by a 65-year-old man with severe anemia. The cause? Oropharyngeal leech…

Blood-tinged saliva, light-headedness, difficulty speaking and a foreign body sensation in the throat were all reported by a 65-year-old man with severe #anemia.

The cause? Oropharyngeal #leech infestation.

Read the full #EdsChoice case 👉 buff.ly/RG8vYWu

#MedSky #IDSky

Meet the warriors trying to teach the west how to fight in the Arctic Melting sea ice, rising tensions and the relearning of what it will take to master the art of Arctic warfare

In northern Norway, US marines are learning Arctic warfare. Here is my @financialtimes.com story on the competition between Russia, China & Nato in this region – and how troops fight in a hostile climate. With Daria Mosolova & beautiful 📷 by @kalpeshlathigra.bsky.social

www.ft.com/content/76fd...

Dr Meera Chand, Deputy Director at the UK Health Security Agency, said: "Our Health Protection Teams are working at pace to get in touch with people who were in contact with this individual while they were in England, to ensure they seek appropriate medical care and testing should they develop any symptoms. The infection does not spread easily between people, and the overall risk to the UK population is very low."

We are currently working to identify contacts of an individual who travelled to England while they were unwell with Lassa fever. This individual returned to Nigeria, where they were diagnosed.
Full story news 🔗📰
www.gov.uk/government/n...

Histo (2025)

Just published 🔥
IDSA 2025 Clinical Practice Guideline Update On Histoplasmosis: Treatment of Asymptomatic Histoplasma Pulmonary Nodules (Histoplasmomas) and Mild or Moderate Acute Pulmonary Histoplasmosis in Adults,Children & Pregnant People #IDsky
www.idsociety.org/practice-gui...

#idboardreview 30 M from Ethiopia in refugee camp x7d now arrived in Europe, has fever x3d f/b chills, dizziness, hepatomegaly, thrombocytopenia, ⬆️inflammatory markers. Blood smear shown. Dx? #medEd #idmedEd #IDsky

#idboardreview Pt from Taiwan p/w Headache x1mo, urine incontinence, confusion x1wk, rigidity, F, neck stiffness, peripheral eosinophilia (10%), hyponatremia. Csf eosinophilia (65%). Hx frequent snail catching & eating. MRI multiple micro bleeds. #idtwitter #MedEd #idSky #idmeded

On the 25th October 2018, from my hospital bed, I began to write. 1/5

Tick-borne encephalitis: from tick surveillance to the first confirmed human cases, the United Kingdom, 2015 to 2023 Background Tick-borne encephalitis virus (TBEV) is a flavivirus spread by ticks and can cause tick-borne encephalitis (TBE) in humans. Previously, TBE has been reported in returning travellers in the ...

From tick-surveillance to the first confirmed cases of tick-borne encephalitis in the UK.

Super work by Helen Callaby, and a big group including clinicians across the U.K. and UKHSA diagnostics/tick surveillance teams- #RIPL #IFS #emerginginfections #idsky shorturl.at/jpnHQ

How should S.haematobium infection be managed in non-endemic regions? …This is what we came up with based on 20 years of confirmed cases at the Hospital for Tropical Diseases, London. Thanks to all co-authors including @tropdoc.bsky.social @gaurig03.bsky.social @hannahrafferty.bsky.social on bsky

Hai vợ chồng nguy kịch do bị chuột cắn Sau khi bị chuột cắn, hai vợ chồng ở Hải Dương phải nhập viện điều trị tại Trung tâm Bệnh nhiệt đới (Bệnh viện Bạch Mai) trong tình trạng sốt rất cao, nguy cơ biến chứng nguy hiểm.

Couple (68 years old and 61 years old) from Hai Duong (Vietnam) after being bitten by rats: fever, chills, edematous, swollen, infected wounds on their hands and critical condition.

SODOKU DISEASE (rat bite fever).

thanhnien.vn/hai-vo-chong...
#IDSky #microbiology

#IdBoardReview 50 yo Caribbean male s/p bone marrow transplant 1mo ago presents w/ fever, cough, eosinophilia, thumbprint periumbilical purpuric rash. BAL sample streaked on blood agar showed winding trailing pattern. Dx? #medEd #idmedEd #Idsky

Are you London ID trainee post-PhD & interested in an ACL. May be able to create posts in 2025. Opportunities in Syphilis & STIs (UK & Global), Group A Strep (Global), Leishmaniasis & NTDs. If interested get in touch. @gpollara.bsky.social @drneilstone.bsky.social @thushan-desilva.bsky.social

Japanese encephalitis case found in Victoria prompts ‘high’ risk warning for weeks ahead People living near the Murray River or adjacent regions urged to take extra precautions to avoid disease transmitted by mosquitoes

First case of Japanese encephalitis reported in Victoria since the 2022 outbreak:

www.theguardian.com/australia-ne...

Seems like an apt time to reflect on on Australian JEV epi and surveillance challenges, great update here:

www.mja.com.au/journal/2024...

#idsky

Sleeping sickness cases prompt CDC travel notice The Centers for Disease Control and Prevention (CDC) recently issued a travel notice due to several cases of East African sleeping sickness among travelers returning from safari areas in Zambia and Zi...

" #SleepingSickness cases prompt #CDC travel notice for #Zambia and #Zimbabwe." via @outbreaknewstoday.substack.com.web.brid.gy
outbreaknewstoday.substack.com/p/sleeping-s...

The whirlpool sign- ascaris.