Alexandre Serafim

@2210alex.bsky.social

Pediatric Intensivist at Brasilia, Brazil

An antiviral therapy has not been approved for dengue. In a new report, mosnodenvir, a small-molecule antiviral, was shown to be protective in a human challenge model of dengue, and a weekly regimen provided adequate blood levels. Read the full report: https://nej.md/3VEGbnz

Chart showing Mosnodenvir plasma levels through Day 85 of a trial. A graph shows the mosnodenvir plasma concentrations through day 85 in the pharmacokinetic analysis.

Des bisous aux experts français de la vasopressine 🤡. Venez à mes séances de bibliographie du jeudi : je vous réexpliquerez lentement que corrélation n'est pas causalité. Et aussi les problèmes causés par les conflits d'intérêt avec AOP Pharma... jamanetwork.com/journals/jam...

Vasopressin Initiation Threshold in Septic Shock

This large, pragmatic randomized clinical trial compares the effects of hospital-level strategies initiating vasopressin infusion at a lower- vs higher-dose threshold on septic shock outcomes in adult...

jamanetwork.com

Op-eds from VIP types are tricky for medical journals. You don't often see a president & the WHO head co-authoring a piece in ... the NEJM. But here we have a commentary describing their efforts to coordinate #Hantavirus response & affirming the importance of solidarity and collaboration in health:

Hantavirus — Lessons Learned about Security and Solidarity | NEJM

Pedro Sánchez and Tedros Adhanom Ghebreyesus reflect on the management of Andes hantavirus and the way in which careful, coordinated outbreak response can limit risk without undermining dignity.

nejm.org

Essential, brilliant reporting by @by-cjewett.bsky.social It's TERRIFYING: MAHA folks are INVESTIGATING pediatricians, who are some of the lowest paid docs in the professions, for vaccinating kids It's part of a 20-year anti-vaxx campaign by RFK Jr "that some of his political allies have joined"

Christina Jewett@by-cjewett.bsky.social · 2w ago

NEW: Ken Paxton's office is investigating pediatricians for vaccinating children. He alleged a sprawling profit-driven conspiracy. Pediatricians say the accusations are an attempt at intimidation. 🎁 www.nytimes.com/2026/10/05/h...

Duchenne muscular dystrophy, the most common childhood muscular dystrophy, with an estimated prevalence of 1 in 5000 boys 5 to 9 years of age, is a recessive degenerative disorder caused by variants in the dystrophin gene that lead to deficiency of dystrophin. Learn more: https://nej.md/4h7h0SP

An illustrated diagram of multisystem findings in patients with Duchenne Muscular Dystrophy. The image highlights physical features such as shoulder and arm positioning, a protruding belly, calf muscles with pseudohypertrophy, and a waddling gait. Annotations describe muscle weakness, respiratory challenges, positional deformity, and difficulty maintaining balance, leading to frequent falls.