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EM Clerkship

Common Fungal Infections

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 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 […]

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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