#179 Invasive Fungal Disease: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 11 June 2025

⏱️ 50 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

🔹 What is invasive fungal disease, and who is most at risk for developing invasive fungal disease? (~ 02:46)

🔹 What are the main classes of fungi? (~11:35)

🔹 What are the pros and cons of B-D Glucan and Galactomannan (~19:16)

🔹 How to increase the yield of blood cultures? How to interpret yeast growth in sputum/BAL and urine cultures? (~ 30:42)

🔹 How is invasive fungal disease treated? (~ 35:14)

📌 Sponsor: Oakstone CME’s ACP MKSAP Audio Companion

Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP

📌 Transcript & show notes

Tags: CoreIM, IMCore, Infectious Disease, Hospital Medicine, Hospitalist, ICU, Medical Education, Physician Assistant, Nurse Practitioner, Medical Student, mold

Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840

Our Sponsors:
* Check out Eko Core 500 Digital Stethoscope: https://ekohealth.com/COREIM
* Check out FIGS and use code FIGSRX for 15% off your 1st order: https://wearfigs.com
* Check out Washington Red Raspberries for recipes, farmers' stories, and which grocery stores carry: https://www.coreimpodcast.com/redrazz

Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

Click on a timestamp to play from that location

0:00.0	And we say, well, it's not there. We invest in diagnosing it. And then we say it's rare. But because we say it's rare, we don't look for it. Therefore, we miss it. So we say it's rare. And it's a positive feedback loop. And it's just bad PR. Fungus is common. Fungus is everywhere. Fungus is causing an incredible burden of disease. We just don't see it.
0:21.2	That's Dr. Andre Speck, a transplant infectious disease physician and the director of the
0:25.6	invasive mycosis clinic at Washington University.
0:29.2	Welcome to the Core I Am Five Pearls podcast.
0:31.5	I'm Dr. Shreddy and I'm joined by.
0:34.0	I'm Sam Schutz, a resident physician at Beth Israel Deaconess Medical Center.
0:38.6	And today we are talking all things invasive fungal disease.
0:42.6	All right.
0:43.3	Let's get started with the pearls we'll be covering today.
0:45.4	Be sure to test yourself by pausing after each of the five questions.
0:49.2	Remember, the more you test yourself, the deeper your learning gains.
0:53.6	Pearl 1.
0:59.1	What is invasive fungal disease? And who is most at risk for developing it?
1:08.6	Pearl 2. What are the main classes of fungi?
1:18.0	Pearl 3. Fungal diagnostics.
1:23.2	What are our options for testing for invasive fungal disease and how good are these tests? Pearl 4.
1:31.0	How should we think about blood cultures and urine cultures when testing for fungal disease?
1:41.7	Pearl 5.
1:43.5	What is the treatment of invasive fungal disease?
1:50.3	A quick word from our sponsor, Oakstone CME's ACP Mixap audio companion. How convenient would it be to have Mixap in your pocket? 11 minutes of SGLT2
2:02.7	inhibitors while you're walking or driving to work. That is something I can do. That's why ACP
2:08.5	Mixap Audio Companion from Oakstone CME has been such a good go-to. For 50 years, Oakstone
	...

Transcript will be available on the free plan in 21 days. Upgrade to see the full transcript now.

Previous episode

Disclaimer: The podcast and artwork embedded on this page are from Core IM Team, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Core IM Team and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.