SSPE — delayed and progressive brain damage from measles infection — is sadly something we’ll see more frequently moving forward. FYI, symptoms can be delayed by decades after initial infection www.theatlantic.com/ideas/2026/0...
Allison Bond
@allisonrbond.bsky.social
Infectious Diseases & Hospital Med MD @ UCSF; former journalist. MedEd, clinical reasoning, #infectiousdiseases for non-ID specialists — and puns. Puns are my favorite. #medsky #IDsky
I recently hosted @ucsfhealth.bsky.social Department of Medicine Grand Rounds with @cpsolvers.bsky.social — a fun and high-yield diagnostic journey! www.youtube.com/watch?v=Ff8q...
Hollander Rounds: A Clinical Problem-Solving Case
YouTube video by UCSF Department of Medicine
youtube.com
Hey out there -- if you have information about the job cuts at FDA, CDC, NIH or HHS at large, we'd love to hear from you. We're looking, in particular, for information about exactly what cuts were made. You can reach me on Signal, the encrypted messaging system, at MattHerper.92. DMs are open.
#1/ Starting NOW Hybrid on Zoom & In-Person - @ucsfhealth.bsky.social #UCSFMGR w/ Dr. @annieluet.bsky.social on HIV in 2025: What's New, What's Next? Moderated by Dr. @bobwachter.bsky.social. Stay tuned for Live-Sky-ing of the learning pearls.
Spontaneous pulmonary-twist secondary to Legionnaire’s disease Apparently "pulmonary twist" is a thing. In this case, in the context of Legionella pneumonia, the L upper lobe became twisted & necrotic, apparently due to infiltration and increased weight of lingula link.springer.com/article/10.1...
Guess I’m just feeling a bit sedimental
Allison Bond@allisonrbond.bsky.social · 2y agoWish I still got to spin urine sometimes
I’ve heard of robots replacing physicians but this seems a bit of a stretch
Got into a debate with nephrology about whether contrast-induced nephropathy is real, and I’ve never felt so alive
Children receive so many more vaccines these days. Is this ok? Short answer: This is ok. Today’s vaccines target more diseases and do so more efficiently than older vaccines. Longer answer: ⬇️ 1/7 @kkjetelina.bsky.social @meganranney.bsky.social @jasonlschwartz.bsky.social @enirenberg.bsky.social
We’ve decided to end the peer review process; instead, we will just be asking random people on the street what they think
🚨📣🚨📣 We're hiring! Open search for Associate Director of Infection Prevention at UW Medical Center Work in amazing academic environment with a phenomenal team. Fantastic quality of life. Did I mention protected time for scholarly activities? DM w q's apply.interfolio.com/160509 #IDsky
Relatedly, I’m curious how many of us in healthcare are eldest daughters. Wish there was a poll function on BlueSky!
Sandwich Dealer, RN@ashleythetexan.bsky.social · 2y agoPulled that eldest-daughter-who-also-works-in-healthcare move and sternly reminded my parents that there will be no shoveling snow or walking on pavement during the upcoming winter storm because dad is now on thinners. This has not dawned on them apparently.
This study (from 2015) entailed building a vomiting machine to show norovirus can be airborne. It still haunts my dreams, and now it can haunt you too! You’re welcome www.science.org/content/arti...
'Vomit machine' shows that norovirus can go airborne
Scaled-down model shows that virus particles can be aerosolized by barfing
science.org
Edward Nirenberg@enirenberg.bsky.social · 2y agoI see some discussion of norovirus because of the seasonal upswing but there is a point that I have rarely seen mentioned about it: norovirus can be airborne (yes, seriously). When people vomit or experience diarrhea from norovirus gastroenteritis, the virus gets aerosolized and can infect you.
If people continue to be infected with #H5N1 #birdflu, some will die. One has: the person in Louisiana who was infected by poultry and/or wild birds in a backyard flock. Developing story. www.statnews.com/2025/01/06/b...
U.S. records first fatal bird flu case amid growing concerns about virus
The U.S. has recorded its first fatal case of H5N1 bird flu, in a person from Louisiana who contracted the virus from infected chickens and wild birds in a backyard flock.
statnews.com
So, you may ask, why do I get so angry about the new liberal spin on RFK Jr, as in, "he gets some things right, so let's collaborate on those" or "we have to work with him because he has a huge following we need to reach"? Because I've seen this movie before. 1/
Key point from the NEJM article on the #H5N1 case in Canada: The NP swab was (+) for Flu A but (-) for A(H1) and A(H3) on the BioFire Respiratory Panel. Remember- Routine Flu A testing won’t confirm #H5N1. If the subtype is unidentifiable, important to test for H5N1. www.nejm.org/doi/full/10....
Critical Illness in an Adolescent with Influenza A(H5N1) Virus Infection | NEJM
Influenza A(H5N1) viruses are an emerging zoonotic threat and have spread widely throughout birds in North America. Recently, influenza A(H5N1) infection led to serious illness in a teenager in Canada...
nejm.org
Starting the new year with high hopes and even higher glucose
Infectious disease MD & professionally trained journalist here! 🚨 The contents of this article & the fact that it was given space in The Atlantic is a dangerous display of both-sides-ism. 🚨 The “fear” of RFK flippantly mentioned? Actually a well-founded concern re: a resurgence of deadly diseases
Update: Fried potatoes in biryani is a ✨love language✨
Allison Bond@allisonrbond.bsky.social · 2y agoFried potatoes is a love language
Report in NEJM describing the first critically ill adolescent with #H5N1 D1.1 (aka #BirdFlu) in North America. A 13 yo rapidly progressed from mild symptoms to respiratory & renal failure. She survived thanks to IMV + ECMO + CRRT. Scary stuff. 📄 www.nejm.org/doi/full/10....
In today’s MMWR, largest blastomycosis outbreak in 🇺🇸: -162 cases in a single paper mill in Michigan (20% of all employees) -Primarily 🫁 symptoms -18 (12%) 🏥, 1 death -0 environmental samples of mill were PCR pos for blasto #IDSky www.cdc.gov/mmwr/volumes...
Outbreak of Blastomycosis Among Paper Mill Workers...
This report describes an outbreak of blastomycosis among workers at a paper mill in Michigan.
cdc.gov
It’s not raw water — it’s ✨ Sewage Lite™️✨
The New York Times@nytimes.com · 2y agoUntreated water enthusiasts swear by natural springs, or “raw water.” Many of them are part of the so-called health freedom movement, which opposes vaccine mandates, pasteurized milk and other government public health interventions.
Infectious disease MD & professionally trained journalist here! 🚨 The contents of this article & the fact that it was given space in The Atlantic is a dangerous display of both-sides-ism. 🚨 The “fear” of RFK flippantly mentioned? Actually a well-founded concern re: a resurgence of deadly diseases
The Atlantic@theatlantic.com · 2y agoIn “Good on Paper,” @jerusalem.bsky.social speaks with a pro-vaccine doctor who argues that RFK Jr.’s critics need to acknowledge the “seeds of truth” to some of his critiques, and the fact that many Americans are skeptical of public-health institutions.
As we head into 2025, I'll be sharing 25 MEDICAL HISTORY OBJECTS starting with... #1) 5,000-year-old prosthetic eye made of bitumen paste with lines radiating out from iris. Worn by a 6’ tall woman (possibly a priestess), found near the city of Zabol in Iran. The eye would have been painted gold.
What’re folks’ first-day-off-service (fun) rituals? Catching up on emails doesn’t count…
Rheum Cat@rheumcat.bsky.social · 2y agoLast day on call for rheumatology consults tomorrow