The Curbsiders Internal Medicine Podcast #416: Antifungals, Candida, Mucorales, Aspergillus, Pneumocystis: The Fungus Among Us with Dr. Ilan Schwartz MD
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Nov 20, 2023 A discussion with Dr. Ilan Schwartz, an expert in fungal infections, covers topics like when to worry about fungal infections, starting anti-fungals, testing basics, resistant candida, and Pneumocystis jiroveci pneumonia. The episode also touches on MRI priorities for surgeons, unique holiday gifts, and the challenges of treating Candida and Canada-Oris.
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Fungal Infection Differential
- Consider invasive fungal infections in sepsis with unclear causes.
- Especially if the patient has a weakened immune system or a complex medical history.
Common Fungal Infections
- Most common invasive fungal infections are candidiasis (especially in complex ICU patients) and mucormycosis.
- Mucormycosis often appears in patients with diabetes and DKA, presents as facial swelling/discoloration.
Mucormycosis: Act Fast
- For suspected mucormycosis, immediately consult ID and ENT.
- Image the sinuses/face (CT or MRI) for any tenderness, discoloration, or visual changes.