#416: Antifungals, Candida, Mucorales, Aspergillus, Pneumocystis: The Fungus Among Us with Dr. Ilan Schwartz MD

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 20 November 2023

⏱️ 73 minutes

🔗️ Recording | iTunes | RSS

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Summary

“I collect spores, molds and fungus” - Dr. Egon Spengler

Dr. Ilan Schwartz MD PhD (@GermHunterMD) teaches us that we should always at least consider fungi in the differential diagnosis of unexplained sepsis, especially in patients with impaired immune systems or complex medical or surgical histories, and walks us through an approach to antifungals. Be sure to check out the Mycoses Study Group Education & Research Consortium (@MSG_ERC), an organization of clinicians who are dedicated to advancing diagnostics and treatment of fungal disease (where Dr. Schwartz serves on the board of directors!) Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

Intro
Rapid fire questions, get to know our guest
Intentionally vague case; When should we be worried about fungal infection?
Overnight emergencies: Candidiasis and mucormycosis
Starting empiric anti-fungals
Testing basics: direct versus indirect
Fungemia, fungal endocarditis
Resistant candida; candida auris
Pneumocystis jiroveci pneumonia
Outro

Credits

Producer, Writer, Show Notes, Infographic/Cover Art: Beth Garbitelli MD
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli MD
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Ilan Schwartz MD, PhD

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Transcript

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0:00.0	Hey everyone, if you love listening to Curbsiders and want to enhance the experience,
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0:45.0	Beth, do you have a pun?
0:50.0	So it's a little bit of a story.
0:52.0	You guys know I like to bake. I was in the kitchen baking some
0:55.9	bread and I accidentally spilled some yeast in the soupos cooking and I decided I would eat it anyway.
1:01.5	It actually tasted pretty good. It was surprising.
1:07.0	It's a pretty bad one, right?
1:12.0	They're all bad, Beth.
1:13.6	Paul, do you have anything better?
1:15.7	I mean, several.
	...

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