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Pulmonary Infection
Friendly Fire After the Infusion
A patient on pembrolizumab for head and neck cancer develops subacute dyspnea, dry cough, and bilateral ground-glass opacities — a checkpoint inhibitor pneumonitis that mimics infection and demands immunosuppression, not broader antibiotics.
Jul 20, 2026
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Don't Treat the Scan: When Imaging Lags Behind Infection Recovery
A literature-based ID essay on residual abdominal collections, vertebral osteomyelitis MRI, and follow-up endocarditis imaging, with one central lesson: don't treat the scan in isolation.
May 13, 2026
Essay
New Hardware, Old Infection: When Should We Suppress After Endocarditis Surgery?
A bedside question about prosthetic valve endocarditis, aortic root abscess, new hardware in an infected field, and when suppressive therapy actually fits after surgery.
Apr 20, 2026
Essay
Soil, Streptomyces, and the Microbes That Changed Medicine
Sometimes the biggest revolutions are right beneath our feet
Feb 6, 2026
HistorID
This week in ID history

1888-2006
The Vet Who Lent His Name to the Soil
Edmond Nocard was a veterinarian at a school outside Paris when he pulled a strange branching filament from the lymph nodes of a dying cow. He could not have known that the same organism lived in the soil beneath the pasture, that it would be renamed in his honor within a year, or that it would spend the next century confusing microbiologists and killing immunocompromised patients in ways they were slow to recognize.
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Objectives, key concepts, guidelines, pearls, cases, and self-assessment questions across 6 core topics. Work through a module in order or jump to whatever you are seeing on the wards.
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