Professor of Medicine @EinsteinMed, ID doctor at Jacobi Medical Center. Passionate about #TropMed and #ImmigrantHealth.

Joined April 2021
66 Photos and videos
Great to hear the Top papers in Tropical Medicine talk by Dr Martin Montes at @ESCMID; thrilled that 2 papers from @CIDJournal were chosen. pubmed.ncbi.nlm.nih.gov/3723… pubmed.ncbi.nlm.nih.gov/3710… @PaulSaxMD
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Join us virtually to hear about Chagas disease by renowned experts. If you are a healthcare provider, you can register for free one day only! Please click the link below to register by Thursday, April 11th at 5:00pm EST. einsteinmed.co1.qualtrics.co…
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Ok.. we have a 10 year old with urinary schistosomiasis (eggs in urine), abdominal pain and a bladder US showing nodular thickening of the bladder. You gave praziquantel.... next steps? Let's vote (2/2)
22% Bladder biopsy
49% Repeat US in three months
29% Hmm... not sure.
91 votes • Final results
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I am back for more discussion #Tropmed schisto case ..yes, @tmhohl71 and others are right! Give praziquantel and get an US. Bladder US with focal nodular thickening. Ureters are ok. I will be sending you a quiz on what do next. (1/2)
Now lab results from case below and the urine for O& P... What are your next steps in management of this patient? (2/2)
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Hey #IDTwitter. . some comments on our #Tropmed case ...On further questioning he noted hematuria and abdominal pain for a year. Work up for eosinophilia in returning migrant with eosinophilia from West Africa outlined here ... Thanks for all your feedback! (1/2)
Hey #IDTwitter #MedTwitter another #TropMed case to unravel: A 10-year-old migrated from Mali 4 months ago c/o abdominal pain. No fever or diarrhea. WBC 9K 25% eos. Hg and Plt WNL. Chemistries normal. PE: lower abdominal pain. Next on your work up?
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Now lab results from case below and the urine for O& P... What are your next steps in management of this patient? (2/2)
Hey #IDTwitter #MedTwitter another #TropMed case to unravel: A 10-year-old migrated from Mali 4 months ago c/o abdominal pain. No fever or diarrhea. WBC 9K 25% eos. Hg and Plt WNL. Chemistries normal. PE: lower abdominal pain. Next on your work up?
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Hey #IDTwitter #MedTwitter another #TropMed case to unravel: A 10-year-old migrated from Mali 4 months ago c/o abdominal pain. No fever or diarrhea. WBC 9K 25% eos. Hg and Plt WNL. Chemistries normal. PE: lower abdominal pain. Next on your work up?
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Check out this terrific work on malaria retinopathy.. Turns out our eyes are a window not only to the soul, but the brain in severe malaria @ttmalawi
Nice write up of Bo Zhang’s work with retinopathy; being able to diagnose through the ‘windows to the soul’ is a game-changer. fredhutch.org/en/news/spotli…
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Christina Coyle, MD retweeted
23 Jan 2023
Hey #IDTwitter, especially those out there doing clinical research: Excited that @CIDJournal now offers format free submissions. Another big change coming soon -- stay tuned! academic.oup.com/cid/pages/M…
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Back for tweetorial on NCC case #TropMed. The answer is...Steroids alone!! x.com/Coyle_CM/status/160498…

Replying to @Coyle_CM
How would you manage this patient? @swinndong @febrilepodcast @DocWoc71 @JillWeather @EvaClarkMD
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Let's look at clues on MRI, as calcified lesions with perilesional edema commonly get mistaken for a degenerating cyst. Remember they are always enhancing on T1 post gad! A useful sequence is SWI: Calcified lesions look black. This is your stand in for a CT scan. Take a look:
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New #TropMed case of Neurocysticercosis (NCC) following our Febrile Episode @CesarGBerto A 53 year old male from rural Mexico presents with R sided weakness resulting in a fall. On exam: R hemiparesis- NCC Western blot . Previously told he had a "brain" parasite. MRI showed:
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How would you manage this patient? @swinndong @febrilepodcast @DocWoc71 @JillWeather @EvaClarkMD
77% Albendazole PLUS steroids
5% Surgical removal
8% Albendazole alone
10% Steroids alone
215 votes • Final results
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Thrilled to be part of Febrile and joined by Cesar Berto to discuss our favorite topic!!! @CesarGBerto @swinndong @febrilepodcast
🔥Check out our newest episode featuring return guests @CesarGBerto & @Coyle_CM discussing management of cysts in the 🧠 (you can guess the organism by the description and cover art!) 👂Subscribe anywhere🎙️are found febrilepodcast.captivate.fm/… #IDTwitter #IDMedEd #MedTwitter
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Lots of fun unraveling the cases today!
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Many of you got this correct. The diagnosis is mycetoma, which is an infection of the subcutaneous tissue characterized by infiltrative masses with sinus formation and discharges that contain grains.
Replying to @Coyle_CM
Let's look at a patient who immigrated from Guatemala 15 years ago. Presented 2 years after migration with a swollen foot and multiple sinuses extruding black granules. He was treated for a "fungal infection" and still not better...
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Here is a nice table regarding grain color and causative species:
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This patient from S. America had black granules suggesting a fungal mycetoma. PCR was positive for Nigrograna spp, which is an emerging cause of eumycetoma in S. America, in addition to T. grisea. He is responding to voriconazole! journals.asm.org/doi/pdf/10.…

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