
Clinical Scientist (HSST) @PublicHealthW - Microbiology. Focusing on #AMR and WGS 🧬 Own opinion only. Fictional cases for education #AMStewardship #MedEd
Wales, United Kingdom
Joined April 2022
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Luke Turner 🦠 retweeted
Do deer spread Lyme disease?
63%Yes
30%No
7%The answer is obvious!
27 votes • Final results Luke Turner 🦠 retweeted
Enterobius vermicularis ova were identified on stool microscopy from a 9-year-old child.
Microscopic appearance: The eggs are colorless, smooth and ovoid, with a moderately thick, double-layered shell. One side is characteristically flattened, giving the egg its classic “D-shaped” appearance. They measure approximately 50–60 × 20–30 µm.
Unlike the eggs of many other intestinal nematodes, E. vermicularis eggs are passed partially embryonated, and a developing larva may sometimes be visible within the egg.
About the parasite: E. vermicularis is a nematode (roundworm) with a worldwide distribution. Infection is particularly common in children.
Adult worms inhabit the cecum and adjacent colon. At night, gravid female worms migrate to the perianal region to deposit their eggs. This explains the characteristic symptom of nocturnal pruritus ani (night-time anal itching). In heavier infections, sleep disturbance, irritability and reduced appetite may occur.
Although E. vermicularis eggs may occasionally be detected in stool—as in this case—stool microscopy is not the optimal diagnostic method. The preferred method is the cellophane/cellulose adhesive tape test, performed on the perianal skin, ideally in the morning before bathing or defecation.
A beautiful example of how a characteristic microscopic morphology can point directly toward the diagnosis.
#Fortheloveofmicrobiology #clinicalmicrobiology #microrounds #IDpath #ASMClinmicro #STEM #womeninmicrobiology #microbiologypakistan #pathbugs
Luke Turner 🦠 retweeted
Fresh Blog: Is oseltamivir assassinating ICU patients?
The REMAP-CAP trial has concluded with >98% certainty that oseltamivir is killing patients.
This is an extraordinary claim that requires extraordinary evidence.
#1/2... (link to blog in 2nd post)
Luke Turner 🦠 retweeted
ID board review:
A 28-year-old man presents with dysuria and purulent urethral discharge. NAAT is positive for Neisseria gonorrhoeae. Which additional treatment is recommended if chlamydia has not been excluded?
A. Metronidazole
B. Doxycycline
C. Ciprofloxacin
D. Fluconazole
Luke Turner 🦠 retweeted
Cervical cancer deaths fall to zero in young women given vaccine bbc.in/4ovjOLq
Luke Turner 🦠 retweeted
I’m a chemist. I need to say this - because it’s getting dangerous out there. The biggest health myth in the world isn’t about vaccines.
Or GMOs. Or fluoride.
It’s the root of all of them.
It’s called chemophobia - and it’s killing science.
Fear of “chemicals” now drives vaccine rejection, GMO bans, food hysteria, and entire political movements.
From tampons to tap water, people have been taught to fear chemistry - the very thing that keeps us alive.
Chemophobia tells us:
“Natural is good.”
“Synthetic is bad.”
That’s a lie.
Botulinum toxin is 100% natural and one of the deadliest molecules known. Aspirin is synthetic and life-saving.
We’ve gone from banning harmful substances for good reason…to banning safe, well-tested molecules for emotional reasons.
You’ve seen the slogans: “If you can’t pronounce it, don’t eat it.” “Paraben-free.” “Clean beauty.”
They sound empowering. But they’re not science - they’re marketing. And they’re making the world dumber, poorer, and sicker.
Your body doesn’t care if a molecule comes from a plant or a lab. Vitamin C is vitamin C.
Formaldehyde is formaldehyde and your body makes more of it every day than any vaccine ever could.
Dose matters. Source doesn’t.
This fear isn’t harmless.
It shapes public policy.
It blocks innovation.
It raises food prices.
It slows down cancer treatments.
Chemophobia is now mainstream and it’s costing lives. Scientists aren’t losing because we’re wrong.
We’re losing because fear spreads faster than facts. Because influencers sell fear for clicks.
Because lawyers monetize doubt. And because scientists are too tired to fight back.
So here’s my message, as a chemist and as a citizen: Learn how toxicology works.
Call out chemical fear-mongering. Support policies based on evidence, not emotion.
Chemistry isn’t the enemy. It’s the reason you have clean water, safe food, and modern medicine.
If we let fear win, we lose all of it.
Luke Turner 🦠 retweeted
Replying to @BJegorovic @BradSpellberg @DrToddLee @venkat_id @IDiots_pod @ABsteward @JamesWilsonDO1 @CosEpiID
I will tell you what I tell the residents. If you're going to swab a sacral wound, you may as well stick the swab directly into the rectum. The result will be equally informative. This also applies to foot wounds.
Luke Turner 🦠 retweeted
Addled by Ambisome?
Not sure about Nystatin
Never heard of Natamycin?
Worry not; Jame and Alyssa are here to clear it all up
Details here: podcasts.apple.com/gb/podcas…
#idxposts #micro #infection #podcast
Luke Turner 🦠 retweeted
This illustrates why I'm far more concerned about Ebola than Hantavirus. In addition, this particular strain (Bundibugyo) has a high false negative rate with testing. Don't forget the super spreader event coming up either.
Luke Turner 🦠 retweeted
If anyone doesn’t know what @MicroLukas is damning, see our episode on Pseudomonas (& assc prep notes) where we explain efflux pumps:
podcasts.apple.com/gb/podcas…
Notes:
idiots.notion.site/59-60-Pse…
Tl;dr is it’s an efflux pump
Luke Turner 🦠 retweeted
Replying to @ABsteward @DrToddLee
You know them all…
1) Shorter Is Better
2) Oral Is the New IV
3) Static/Cidal: Not a Thing
4) Antibiotics are the most potent anxiolytics in the pharmacopeia
5) Resistance is inevitable
6) ESR/CRP: Stop the Zombie Tests
7) Todd’s quote: The urine is innocent until proven guilty
Luke Turner 🦠 retweeted
Ebola latest: The search for patient zero goes on. Here’s UN WHO’s Dr Anne Ancia reporting from Bunia, Ituri, in eastern DR Congo, that’s in the grip of the outbreak.
Luke Turner 🦠 retweeted
Caitlin Jensen, 28, walked into a Georgia chiropractor in June 2022. She came out with four dissected arteries, a stroke, cardiac arrest, and a traumatic brain injury. It took her nine months to say "Mom" again.
She had come in for lower back pain.
Your brain runs on four arteries. Two carotids in front, two vertebrals in back. The vertebrals don't run free. They thread up through narrow bone tunnels inside each cervical vertebra, C6 to C1, then loop around the top vertebra in a tight horizontal curve called the V3 segment.
When a chiropractor performs a high-velocity rotational thrust on the upper neck, V3 gets stretched and snapped against bone. The inner artery wall tears. Blood seeps between the layers. A flap forms. Flow blocks, or clots break off and travel to the brainstem.
In Caitlin's case all four vessels tore. Paramedics worked 12 minutes restoring her pulse. Surgeons placed a stent in one artery and repaired what they could in the rest. The brain injury came from the bleed that followed the stroke that followed the dissection.
One in 20,000 spinal manipulations triggers this. Arterial dissection causes 2% of strokes overall but 8 to 25% of strokes in patients under 45. In 55% of cases symptoms start within 12 hours of the adjustment. No screening test identifies who's at risk beforehand.
The American Chiropractic Association's own spokesman told the New York Times patients should get vascular scans before neck manipulation. Almost none do. Informed consent matching a surgical risk disclosure isn't standard. The average victim is 40.
Caitlin's back pain lived four vertebrae below the artery the thrust tore.
Luke Turner 🦠 retweeted
Understanding MICs and CLSI breakpoints is one of the most important skills in infectious diseases and antimicrobial stewardship.
A culture report should never stop at:
“Susceptible.”
Instead, we should ask:
• What is the MIC?
• Is it close to the breakpoint?
• Is the dosing optimized?
• Does the patient’s condition affect clinical success?
A great reminder that not all “susceptible” results are equally strong clinically.
#ClinicalPharmacy #InfectiousDiseases #AntimicrobialStewardship #CLSI #MIC #IDPharmacist #PharmacyResidency #CriticalCare #HealthcareEducation
🤖 Made with AI
Luke Turner 🦠 retweeted
Did you know?
#Hantaviruses are a group zoonotic viruses carried by rodents that can cause severe disease in humans.
Learn how to prevent it and what to do during an outbreak. Watch this explainer👇🏾
Luke Turner 🦠 retweeted
Hantavirus latest: The UN World Health Organization (WHO) says human-to-human transmission aboard cruise ship in Atlantic Ocean cannot be ruled out, although it is rare. Seven of 147 passengers and crew have fallen ill and three have died. news.un.org/en/story/2026/05…
Luke Turner 🦠 retweeted
#IDXposts Iconographic inspired by marvelous post by @BradSpellberg
CIDAL vs. STATIC antibiotics - NOT A THING 🚫
🤖 Made with AI
Replying to @ZCiochettoMD424
Sigh.
STATIC AND CIDAL IS NOT A THING!
Okay. Okay. Okay. Im doing some deep breathing here. Okay. Im calmer now. Let's begin the tweetorial.
First, forget static/cidal, the regimen you describe is not unreasonable. We'll come back to static and cidal in a minute.
Second...




























