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EM Clerkship

Common Fungal Infections

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Health & Fitness, Science, Education, Medicine, Life Sciences

4.9816 Ratings

🗓️ 13 January 2019

⏱️ 9 minutes

🧾️ Download transcript

Summary


Most Life Threatening Fungal Infection



* Mucormycosis* Black facial discharge* Cranial nerve dysfunction* Facial swelling* Eschar formation



When to Suspect a Fungal Infection



* Immunocompromised (HIV, Diabetes, Organ Transplants, etc)* Not getting better on typical antibiotics



Other Fungal Infections



* Aspergillus* Aspergilloma* Bronchopulmonary Aspergillosis* Invasive Aspergillosis* Coccidiomycosis* Southwestern United States* Histoplasmosis* North Central United States* Blastomycosis* Southeast United States



Additional Reading



* Fungal infection archive and data sheets (CDC)

Transcript

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0:00.0

Hello, med students. My name is Zach Olson and thank you for downloading this week's

0:05.9

episode of the EM Clerkship podcast. This is a real quick one this week. This is one that I had

0:11.3

pre-recorded. Remember I said I had some of them pre-recorded from when Mike was doing his

0:16.0

board review. Something that I was learning about when I was studying for the boards that I honestly

0:20.1

had never really thought about before until I was studying for the boards. And I realized that it

0:25.1

like was never in any of my differentials. And I've probably missed it if I'm honest. And it's maybe

0:31.1

okay, but I just think it's really interesting. That's one of the nice things about emergency

0:35.8

medicine though, right? Like no matter how smart you think you are, if you kept reading, you would realize you really don't know that much.

0:42.7

There's always something else to learn.

0:44.1

And so random topic this week, but one of the things that I was reading up on that I realized I knew nothing about was all of the funguses, fungal infections, right?

0:53.0

Not like, not like candiditisis or like a yeast infection,

0:56.3

but like the fungal infections and clinically how these work in the real world and what these

1:02.5

look like in the emergency department. That's what we're going to talk about today.

1:06.7

And I know it's a little random, but my main goal is to point out five clinical, applicable

1:13.7

observations that actually kind of matter with limited brain space to use, because it's not a

1:20.3

huge topic, that I made when I was studying the different fungi, stuff that will impact my clinical practice personally.

1:29.3

First, what fungi are important to know?

1:35.3

And there's a big one.

1:37.1

By far, the most important fungus that you need to know that applies to emergency medicine is a fungal infection

1:45.8

called mucoomycosis because it's necrotizing and bad and deadly and nasty. It's called

1:52.8

mucoromycosis. And next time you have a lecture or something on mucor mycosis, pay attention

1:57.1

because that is like the one fungal life threat that we all need to be worrying about

...

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