Cosmina Gingaras MD, MPH

Osteoarticular involvement in pediatric brucellosis: A 15-year retrospective study from a tertiary care pediatric hospital academic.oup.com/tropej/article…  @DrEMCollins @OUPAcademic @OxfordMedSci @OxUniPress @OxfordJournals #pediatrics #tropicalmedicine #brucellosis

Outcomes of noninvasive versus invasive respiratory support in pediatric scrub typhus-associated acute respiratory failure: a retrospective cohort study from South India academic.oup.com/tropej/article…  @DrEMCollins @OUPAcademic @OxfordMedSci @OxUniPress @OxfordJournals #Pediatrics

New Journal Article Alert 📢📢 Evaluation of stool as an alternative specimen for the diagnosis of paediatric pulmonary tuberculosis: a cross-sectional study academic.oup.com/tropej/article…  @DrEMCollins @OUPAcademic @OxfordMedSci @OxUniPress @OxfordJournals #pediatrics #TBresearch

New JTP Article Alert📢 Clinico-etiological profile and predictors of outcome in pediatric acute hepatitis: an observational study from South India  @DrEMCollins @OUPAcademic @OxfordMedSci @OxUniPress @OxfordJournals #hepatitis academic.oup.com/tropej/article…

New JTP Article📢 Latent tuberculosis in childhood and adolescence: assessment of barriers to diagnosis and treatment in a resource-limited area of Brazil  @DrEMCollins @OUPAcademic @OxfordMedSci @OxUniPress @OxfordJournals #TBResearch #Pediatrics academic.oup.com/tropej/article…

Sepsis - The Lancet thelancet.com/journals/lance…

Hey look! @nejm moved my writing to a new spot. Here's the first post, a rant about a particularly annoying requirement for those of us in work in hospitals (link below) 1/3

@BJegorovic You're right. You have the patient in front of you and know his background and likely risks of adverse effects of tx. Is synergism of beta-lactams and AG against Gram positive bacteria (I was referring to skin flora not pasteurella) not a thing anymore?:))

@CosEpiID @dralicehan @BradSpellberg @DrToddLee @JamesWilsonDO1 @DrEmilyMcD @FReichert667 @DrJimNoble @venkat_id @IdVilchez @drtimothyli @Mav_Rust Is synergism really a thing? Also, risking nephrotoxicity for cellulitis... I don't know.

#IDXposts A 72-year old diabetic patient injured by cat (scratched, not bitten), developed cellulitis of the arm. Blood culutres (×3) grow isolate shown below 👇 What would be your antibiotic of choice, and how long? Would you do any additional diagnostic considering isolate?

@BJegorovic @dralicehan @BradSpellberg @DrToddLee @JamesWilsonDO1 @DrEmilyMcD @FReichert667 @DrJimNoble @venkat_id @IdVilchez @drtimothyli @Mav_Rust For synergism and mssa coverage

@CosEpiID @dralicehan @BradSpellberg @DrToddLee @JamesWilsonDO1 @DrEmilyMcD @FReichert667 @DrJimNoble @venkat_id @IdVilchez @drtimothyli @Mav_Rust Why aminoglycoside?

@BJegorovic @dralicehan @BradSpellberg @DrToddLee @JamesWilsonDO1 @DrEmilyMcD @FReichert667 @DrJimNoble @venkat_id @IdVilchez @drtimothyli @Mav_Rust Amoxiclav alone iv or Peni plus an aminoglycoside if gfr permits (b/c cellulitis could associate staph or strep). If no endocarditis, treat iv until stable and cellulitis healing well, then oral (total 7-10 days). If endocarditis, treat for 6 weeks.

@dralicehan @BradSpellberg @DrToddLee @CosEpiID @JamesWilsonDO1 @DrEmilyMcD @FReichert667 @DrJimNoble @venkat_id @IdVilchez @drtimothyli @Mav_Rust

Screens over the sand and the sunshine—a silent crisis in the tropics academic.oup.com/tropej/article…

Mycobacterium bovis Infection in Children: A Tertiary Hospital Experience @DrEMCollins @OUPAcademic @OxfordMedSci @OxUniPress @OxfordJournals #paediatrics #mycobacteria #Mbovis academic.oup.com/tropej/article…

@BJegorovic Definitely admit to observe how the infection progresses, considering he is diabetic. I would treat with Tigecycline to cover all likely culprits, for 7-10 days, but really depending on how well they do and what cultures we get, for example from that bulla. Also surgical reeval

#IDXposts #IDTwitter A 65-year old obese male patient with hypertension developed left lower leg bullous cellulitis 2 days after sea water injury during swimming. There was a fever up to 39°C. He started taking amoxicillin-clavulanate prescribed by plastic surgeon who did... 1/2

Unusual schistosomiasis presentation and challenges in non-endemic regions @DrEMCollins @OUPAcademic @OxfordMedSci @OxUniPress @OxfordJournals #pediatrics #Schistosoma #schistosomiasis academic.oup.com/tropej/article…

Prevalence of histoplasmosis in Nigerian children with presumptive tuberculosis: a multicentre study comparing two diagnostic techniques academic.oup.com/tropej/article… @DrEMCollins @OUPAcademic @OxfordMedSci @OxUniPress @OxfordJournals #Histoplasma #PedsID #pediatrics

burden of musculoskeletal symptoms in caregivers of children with congenital #Zika syndrome: a cross-sectional study @DrEMCollins @OUPAcademic @OxfordMedSci @OxUniPress @OxfordJournals #PedsID #pediatrics academic.oup.com/tropej/article…

Can severe repeated hypoglycemia be a side effect of Vedolizumab for the treatment of ulcerative colitis in an elderly patient? #ulcerativecolitis #vedolizumab

Comparison of Xpert® MTB/RIF and Xpert® MTB/RIF Ultra in pediatric pulmonary #tuberculosis diagnosis #PedsID #Pediatrics @DrEMCollins @OUPAcademic @OUPMedicine @OxfordMedSci @OxUniPress @OxfordJournals academic.oup.com/tropej/article…

Seroprotection against #hepatitis B, #measles, #mumps, and #rubella in children with diabetes @DrEMCollins @OUPAcademic @OUPMedicine @OxfordMedSci @OxUniPress @OxfordJournals #vaccineswork #pedsID #Pediatrics #diabetes academic.oup.com/tropej/article…

Characteristics of patients with disseminated Bacillus Calmette–Guérin infection: a retrospective study at Namazi Hospital, Southern Iran, from 1991 to 2022 @DrEMCollins @OUPAcademic @OUPMedicine @OxfordMedSci @OxUniPress @OxfordJournals #BCG #vaccines academic.oup.com/tropej/article…