paul evan bunce, md
@paulbuncemd.bsky.social
internist, infectious diseases md, educator. he/him.
toronto
creator of firstcallid.ca and “the host response”
https://podcasts.apple.com/ca/podcast/the-host-response-a-firstcallid-podcast/id1813669140
toronto
creator of firstcallid.ca and “the host response”
https://podcasts.apple.com/ca/podcast/the-host-response-a-firstcallid-podcast/id1813669140
Reposted by paul evan bunce, md
sorry/not sorry. i am just surprised at how consistently the "14 days of abx for pneumonia" is recommended.
it makes me wonder if there is a secret respirology literature on the topic that supports this duration.
it makes me wonder if there is a secret respirology literature on the topic that supports this duration.
November 23, 2025 at 11:33 AM
sorry/not sorry. i am just surprised at how consistently the "14 days of abx for pneumonia" is recommended.
it makes me wonder if there is a secret respirology literature on the topic that supports this duration.
it makes me wonder if there is a secret respirology literature on the topic that supports this duration.
this is my “go to” link when explaining the many characters in the strep family (excluding the nutritionally variant species)
blogs.jwatch.org/hiv-id-obser...
#idsky
blogs.jwatch.org/hiv-id-obser...
#idsky
ID Learning Unit: Clinically Important Streptococcal Infections You Need to Know
Dr. Paul Sax offers a “Strep Infections 101” course — the ones you should remember, and why, with perhaps a few fun facts thrown in.
blogs.jwatch.org
November 23, 2025 at 12:38 AM
this is my “go to” link when explaining the many characters in the strep family (excluding the nutritionally variant species)
blogs.jwatch.org/hiv-id-obser...
#idsky
blogs.jwatch.org/hiv-id-obser...
#idsky
It’s a favourite to everyone but patients who have to take it (and the liver).
But yes, it has many efficacious uses, and I also have an affinity for it.
But yes, it has many efficacious uses, and I also have an affinity for it.
November 17, 2025 at 2:09 AM
It’s a favourite to everyone but patients who have to take it (and the liver).
But yes, it has many efficacious uses, and I also have an affinity for it.
But yes, it has many efficacious uses, and I also have an affinity for it.
congratulations sean!
sorry to miss it…it appears that 1230pm on monday where you are is exactly at my kids’ bedtime in toronto.
sorry to miss it…it appears that 1230pm on monday where you are is exactly at my kids’ bedtime in toronto.
November 17, 2025 at 2:04 AM
congratulations sean!
sorry to miss it…it appears that 1230pm on monday where you are is exactly at my kids’ bedtime in toronto.
sorry to miss it…it appears that 1230pm on monday where you are is exactly at my kids’ bedtime in toronto.
we encountered a similarly dramatic case of disseminated sporotrichosis during my ID training.
he was thought to have sarcoid and received glucocorticoids. only later did a dx of hairy cell leukemia become apparent.
academic.oup.com/mmy/article-...
he was thought to have sarcoid and received glucocorticoids. only later did a dx of hairy cell leukemia become apparent.
academic.oup.com/mmy/article-...
Disseminated sporotrichosis in a patient with hairy cell leukemia treated with amphotericin B and posaconazole
Abstract. We describe a case of disseminated Sporothrix schenckii infection in a man with underlying hairy cell leukemia. The immunological defects associa
academic.oup.com
November 1, 2025 at 1:47 PM
we encountered a similarly dramatic case of disseminated sporotrichosis during my ID training.
he was thought to have sarcoid and received glucocorticoids. only later did a dx of hairy cell leukemia become apparent.
academic.oup.com/mmy/article-...
he was thought to have sarcoid and received glucocorticoids. only later did a dx of hairy cell leukemia become apparent.
academic.oup.com/mmy/article-...
i saw an unforgettable case as a pgy1. we actually aspirated a lesion in ED and found GNB on gram stain.
www.amjmed.com/article/S000...
www.amjmed.com/article/S000...
From the Outside Looking In
One cannot overstate the value of a detailed skin examination in the diagnosis of
systemic disorders, including infectious diseases. This precept was demonstrated in
the present case.
www.amjmed.com
October 14, 2025 at 2:11 AM
i saw an unforgettable case as a pgy1. we actually aspirated a lesion in ED and found GNB on gram stain.
www.amjmed.com/article/S000...
www.amjmed.com/article/S000...
thanks alainna.
there are times when the deep dive is warranted, but including every detail in a case presentation (where most of the details are already in the note) is often superfluous.
and yes, there is skill in being able to distill a case into its core features.
enjoy the boston autumn!
there are times when the deep dive is warranted, but including every detail in a case presentation (where most of the details are already in the note) is often superfluous.
and yes, there is skill in being able to distill a case into its core features.
enjoy the boston autumn!
October 10, 2025 at 4:01 PM
thanks alainna.
there are times when the deep dive is warranted, but including every detail in a case presentation (where most of the details are already in the note) is often superfluous.
and yes, there is skill in being able to distill a case into its core features.
enjoy the boston autumn!
there are times when the deep dive is warranted, but including every detail in a case presentation (where most of the details are already in the note) is often superfluous.
and yes, there is skill in being able to distill a case into its core features.
enjoy the boston autumn!