Harvard/Brigham Infectious Diseases doctor, writer, educator. Editor of Clinical Infectious Diseases. Prefer baseball to football, pizza to sushi, dogs to cats, Beatles to Stones. https://blogs.jwatch.org/hiv-id-observations/
Paul Sax
More on tick infections, a case presentation, and a cliffhanger.
Latest:
paulsaxmd.substack.com/p/the-diagno...
Box #1 is the BEST.
We do everything we can to help people get out of Box #4.
One-month treatment for latent tuberculosis.
Why aren't we using it? (Hint: We should.)
voices.nejm.org/doi/full/10....
So much we need to learn about tick-related infections, so this effort by HHS is welcome.
But I worry deeply about the company they keep in their announcement. More here: #IDSky #Medsky
voices.nejm.org/doi/full/10....
One of the most commonly used words in my house growing up was "ambivalence."
Which might explain why I had no trouble coming up with a list of things in infectious diseases that I both love and hate.
New post here, with bonus @idsainfo.bsky.social podcast. open.substack.com/pub/paulsaxm...
Two weeks on ID consults → some highlights:
• Staph aureus from the urinary tract (yes, really)
• “Explosive pleuritis” (still a great name)
• Sinus fungal balls that aren’t so scary
• Poor CD4 recovery in HIV
• And why strep taxonomy = chaos
And an A+ team! @nejm.org voices.nejm.org/doi/full/10....
Who doesn't have a love-hate relationship with email? Impossible. open.substack.com/pub/paulsaxm...
Latest for @nejm.org, an attempt to bring much-needed attention to these challenging ID cases that for some reason receive so little attention -- NTM. #IDSky
Nontuberculous Mycobacteria: The Common Infections You’ve Possibly Never Heard Of | NEJM Voices voices.nejm.org/doi/full/10....
It took 6+ years, but will likely soon have a preventive strategy for Covid that actually works.
Full story here:
| NEJM Voices #IDSky #Medsky voices.nejm.org/doi/full/10....
Don't miss the two -- count 'em! -- free videos!
Rabies, Tuberculosis, and Other Cheerful Spring Topics
open.substack.com/pub/paulsaxm...
Paul Sax
A recent federal announcement to combat tick-borne disease has a promising premise
but deserves scrutiny.
The Four States of Clinical Medicine, courtesy of @paulsaxmd.bsky.social. We live in box 4 a lot in ID (and it can be unsettling wondering if you missed a crucial piece of the hx, a key investigation, a key rx, etc. - a good time to call more seasoned friends for help)
blogs.nejm.org/hiv-id-obser...
