October 2, 2026
When microbiology results mislead treatment
CRP, dipsticks and cultures need clinical context before they change antibiotic treatment.
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Infectious Diseases
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Infectious Diseases
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September 19, 2026
When polio stops fitting the pattern
Sensory symptoms, symmetry and age-specific incidence challenge an established diagnosis of paralytic polio.
Read briefingSeptember 17, 2026
Back pain before the weakness starts
Spinal epidural abscess can be advanced before fever or neurological deficits appear.
Read briefingSeptember 9, 2026
Dexamethasone timing in bacterial meningitis
Early dexamethasone matters in bacterial meningitis, and Listeria confirmation may not mean it should stop.
Read briefingAugust 29, 2026
Endocarditis starts before the echocardiogram
Classical signs may be absent; culture volume and device-aware imaging carry more diagnostic weight.
Read briefingAugust 23, 2026
Does oseltamivir help severe influenza?
A concerning mortality signal makes routine antiviral prescribing harder to justify in critical illness.
Read briefingAugust 14, 2026
HIV harm reduction, tricuspid regurgitation and atypical parkinsonism
HIV harm reduction and tricuspid valve assessment with neurological diagnostic uncertainty, rheumatic fever and cancer nutrition
Read briefingAugust 3, 2026
Polymyalgia rheumatica, antimicrobial choices, bronchiectasis and burns
A busy Monday spans evolving polymyalgia rheumatica, structured antimicrobial selection, bronchiectasis and burn coverage.
Read briefingJuly 31, 2026
Bacterial meningoencephalitis, sarcoidosis, health anxiety and adolescent knee pain
Apparent stroke with fever may be bacterial meningoencephalitis, while evolving systemic clues can overturn a sarcoidosis diagnosis.
Read briefingJuly 22, 2026
Sepsis resuscitation, paediatric ECG red flags and prolonged watery diarrhoea
Individualised septic-shock resuscitation and age-specific paediatric ECG interpretation
Read briefingJuly 10, 2026
Hyperferritinaemia, pneumococcal disease and paediatric limp safety checks
Ultra-high ferritin, pneumococcal vaccination risk review, diffuse lymphadenopathy and safe assessment of paediatric limp.
Read briefingJuly 5, 2026
Sugar gel evidence, inguinal hernia assessment, postoperative shock and antibiotic mechanisms
Prophylactic dextrose gel, hernia examination, postoperative shock classification and DNA-inhibiting antibiotic counselling.
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