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The Curbsiders Internal Medicine Podcast

#495 Fungal Infections -Histo/Blasto/Cocci with Dr. Andrej Spec

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

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

4.83.1K Ratings

🗓️ 18 August 2025

⏱️ 75 minutes

🧾️ Download transcript

Summary

Why we need to stop calling them “endemic” mycoses & more fungi fun!

Feeling muddled about endemic mycoses? We tackle the clinical presentation of diseases like histoplasmosis, blastomycosis, and coccidioidomycosis, the importance of testing, and how to diagnose fungal infections  with our esteemed guest Dr. Andrej Spec, MD!

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Show Segments

  • Introduction and icebreaker,  Fish Club?!  00:00
  • Case 1 from Kashlak 07:27
  • Diagnostic framework for dimorphic fungi 11:58
  • Imaging presentations for fungal pneumonia, diagnostic schemas 18:23
  • Testing options 27:48
  • Treatment options 35:44
  • Dimorphic Fungi Mnemonics 45:50
  • Retail testing for mold 48:47
  • Case 2 from Kashlak 56: 42
  • Takeaways and Conclusions 1:05:19

Credits

  • Producer, Writer, Show Notes:  Beth “Garbs” Gasperlin MD
  • Infographic and Cover Art: Zoya Surani
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP,  Beth Gasperlin MD  
  • Reviewer: Leah Witt Gaspard MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Andrej Spec MD

Disclosures

Dr. Spec reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

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Transcript

Click on a timestamp to play from that location

0:00.0

Hey, before we get to the show, I wanted to remind you to check out our Patreon at patreon.com

0:05.6

slash curbsiders. If you haven't signed up yet, sign up now to get ad-free episodes, twice

0:10.6

monthly bonus episodes, and a whole bunch of other cool stuff at patreon.com slash curbsiders.

0:19.0

Hey, Paul, did I ever tell you that I worked in the woods as a lumberjack?

0:24.1

No, Matt, you did not tell me that.

0:26.5

Yeah, but I couldn't hack it.

0:28.1

So they gave me the axe.

0:31.6

And is that supposed to be like a double pun at the end there?

0:34.3

Or like the hack and the axe?

0:36.5

Or is it just the axe?

0:37.2

That's the real, the real payoff there. Yeah, gave me the axe or is it just the axe that's the

0:37.5

real the real payoff there yeah gave me the axe paul i got fired no i got it but there's also

0:42.7

hack it in there too i just it's i feel like there's it's there's many layers to deal back it's it's good

0:47.6

yeah so matt you never enjoy these but you're not going to stop me my wife told me to stop me to stop making

0:53.8

mushroom puns.

0:56.2

Mm-hmm.

0:57.0

And I said, come on.

0:58.5

I'm just trying to boost morale.

1:04.0

All right, that's a better response I typically get with my puns.

1:06.9

That's pretty good.

1:07.5

That's a good one.

1:08.0

It's clever.

...

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