Afleveringen
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Blood, urine, sputum, wounds... cultures are everywhere—but do you know what they really mean?
In this episode, we break down:
✅ When to order cultures (and when not to)
✅ How to tell a contaminant from a true infection
✅ How to interpret Gram stains like a boss
✅ What to do with Candida in blood and urine
Not everything that grows needs treating.
And not all negative cultures mean you're in the clear.
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You started vanco + pip-tazo… but days later, no source, no cultures, and still febrile.
🤔 Was it even an infection?
This episode dives into the non-infectious causes of fever that mimic infection:
🎭 Malignancy
🧠 Autoimmune disease
💊 Drug fever
When antibiotics aren’t the answer, clinical reasoning is.
Based on Harrison’s Principles of Internal Medicine. -
Zijn er afleveringen die ontbreken?
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We’re diving into the sneaky, atypical side of tuberculosis—thekind that hides in the elderly, in HIV-positive patients, and even behind a “normal” chest X-ray.
🎧 What you’ll learn:
✅ How TB presents without textbook symptoms
✅ TB in the elderly, the immunocompromised, and beyond
✅ High-yield board pearls & real-world insights
✅ When to suspect it—and when to treat empiricallyThis one’s a must-listen for ID fellows, med students, residents, and anyone working in a high TB-burden setting.
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You’ve got a Klebsiella bacteremia. It’s sensitive to everything. Now what?
In this episode of Infectiously Smart, we’re settling the score on:
✅ Ceftriaxone vs. Cefepime vs. Pip-Tazo vs. Meropenem
✅ When to de-escalate
✅ What Harrison’s & the boards actually want you to know🎧 Listen now on Spotify, Apple podcasts!
🎙 Hosted by Dr. Jean Linsao, your friendly neighborhood ID specialist. -
📌 Why This? Many clinicians struggle with antimicrobial stewardship and when to step down therapy.
💊 In this episode, we’ll cover:✅ When to STOP broad-spectrum antibiotics (when NOT to!)✅ How long should you treat? 5, 7, or 14 days?✅ A real-life case of de-escalation
🚨 You started piperacillin-tazobactam for pneumonia, but now cultures show Klebsiella pneumoniae.
Do you step down to ceftriaxone or keep the broad coverage?
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Fever of Unknown Origin –
When to Panic & When to Hold Back
Why This? FUO is one of the trickiest diagnoses in medicine.
Key Takeaways:✅ Stepwise approach to FUO – What to test and when✅ Common causes of FUO (TB, endocarditis, occult abscess)✅ When to start empirical antibiotics vs. wait it out
A patient has fever for 3 weeks, cultures are negative, and the labs don’t help. What now?💡 Question for you: What’s the strangest FUO case you’ve encountered? Drop it in the comments! 👇
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Sepsis. The one word that makes every clinician pause. But how well do you really understand it? 🤔
In this first episode of infectiouslySMART, we’re diving deepinto:
✅ Key clinical signs you must recognize early
✅ Step-by-step approach to sepsis management
✅ What the boards—and your patients—need you to know💬 Tag a friend who needs this before exams! 🩸🔥
