Michael Rodgers

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.

What is Pruno?

I would add something watery. Swimming in open water, nasal irrigation etc.

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).

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%.

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.

Hi, just read this post. Great read! Also shared it with colleagues.

Why do you prefer amp-sulbactam?

Wow, interesting

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.

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.

Was the patient asplenic or alcoholic?

Metamizole as well

When you say hepatitis C is treated in primary care, do you mean GP’s are the ones prescribing the antivirals?

Hadn’t heard of that dogma. We don’t do it here in The Netherlands. Had S. aureus in two urine cultures today. Just check their file to see if they have symptoms pointing to SAB. If not, I ignore it.

Interesting thread!

Rare to have GBS in an adult. Any idea what caused the infection in this patient?

Never heard of that. Depending on your audience maybe consider writing the acronym in full.

What is MPGN?

B. If I find S. aureus of S. pyogenes, I will only cover that. Something less obviously, I will also cover anaerobes.

6 weeks.

You can check the distribution on EUCAST mic.eucast.org/search/show-...

Did Hymenolepis change? CDC still calls it that.