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Antonio Guerrero MD PhD

@guerreroespejo

Infectious diseases physician and clinical microbiologist | Valencia (Spain)

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23.11.2024
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Latest posts by Antonio Guerrero MD PhD @guerreroespejo

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#India reports 2 confirmed #Nipah #virus cases in West Bengal, both healthcare workers.
The case fatality ratio in outbreaks across Bangladesh, India, Malaysia, and Singapore range from 40% to 75%, depending on local capabilities for early detection & clinical management.
www.who.int/emergencies/...

05.02.2026 17:22 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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UK measles and rubella elimination indicators and status

United Kingdom Loses #Measles Elimination Status

The elimination status was removed based on data showing sustained #transmission in 2024 with an incidence of 51.3 per million.

www.gov.uk/government/p...

30.01.2026 07:11 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Rare #Rabies Transmission Tied To Organ #Transplant

A rare case of human-to-human rabies transmission has been linked to solid organ transplantation, according to a newly published CDC report (MMWR Morb Mortal Wkly Rep 2025;74[39]:600-605).

www.idse.net/Zoonotic-Dis...

27.01.2026 06:08 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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#Ethiopia experienced its first-ever outbreak of #Marburg virus disease in late 2025, which has now been officially declared over on 26 January 2026.
β€’ Total cases: 14 laboratory-confirmed cases.
β€’ Deaths: 9 (case fatality rate β‰ˆ 64%).

www.who.int/emergencies/...

26.01.2026 19:21 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
MERS-CoV number of cases and deaths Global

MERS-CoV number of cases and deaths Global

#MERS- CoV, 2025

Since the beginning of 2025 and as of 21 December 2025, a total of 19 cases of Middle East respiratory syndrome #coronavirus, including 4 deaths have been reported. Of the 19 cases, 17 were reported by the Kingdom of Saudi Arabia, and 2 from France.

www.who.int/emergencies/...

04.01.2026 06:50 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Stronger together - milestones that mattered in 2025 Each year WHO takes stock of key moments in health and science over the past 12 months. Here is our review of a 2025 marked by immense achievements and profound challenges for global health.

πŸ₯³ Guinea and Kenya eliminated sleeping sickness.

πŸ₯³ Niger became the first African country to eliminate river blindness.

πŸ₯³ Georgia, Suriname and Timor-Leste were certified malaria-free.

πŸ₯³ Brazil eliminated mother-to-child transmission of #HIV.

πŸ”— bit.ly/49wdcpl

24.12.2025 19:20 πŸ‘ 204 πŸ” 78 πŸ’¬ 1 πŸ“Œ 2
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"Dive into 'The Plains of Passage' by Jean M. Auel!
Ayla and Jondalar trek across prehistoric european steppes in an odyssey of love, danger, and discovery.

πŸ“–πŸŒ #JeanMAuel #PrehistoricNovel"

17.11.2025 17:15 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

πŸ‘πŸ˜€

17.11.2025 12:56 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Type III MINOCYCLINE-INDUCED HYPERPIGMENTATION

The minocycline was discontinued. At a follow-up visit 8 months later, the facial hyperpigmentation remained unchanged.

DOI: 10.1056/NEJMicm2111130
2/2
#medicine #dermatology

17.11.2025 06:49 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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A 75-YO♀️ 4 year of minocycline for chronic osteomielitis: a 3-year of gradually darkening facial skin, diffuse blue–gray #hyperpigmentation on her face & ears, with sparing of an area beneath her right eye, where she had received a skin graft 6 years before
1/2

DOI: 10.1056/NEJMicm2111130
#IDSky

17.11.2025 06:46 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Detection of wild poliovirus type 1 in environmental sample in Germany On 10 November 2025, the Global Polio Eradication Initiative (GPEI) was informed that wild poliovirus type 1 (WPV1) was isolated from an environmental (sewage) sample collected through routine surveil...

Detection of wild poliovirus type 1 in environmental sample in Germany
linked to WPV1 last identified from an environmental sample collected in Afghanistan.
No associated cases of paralysis have been detected in Germany.

www.who.int/europe/news/...

15.11.2025 16:50 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Redirecting

The patient remained asymptomatic.
Buffy coat smears were repeated at weekly intervals until 28 days had passed since the fly bite.
Smears showed no parasites, and the skin lesion, considered to be an uninfected tsetse fly bite, healed within the subsequent 2 weeks.
3/3

doi.org/10.1016/j.id...

15.11.2025 08:59 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Two principal concerns:
a) the skin lesion represented a trypanosomal chancre at the site of a tsetse fly bite, and
b) the traveler could be incubating the East African tripanosomiasis caused by Trypanosoma brucei rhodesiense
2)3

#microbiology #IDSky

15.11.2025 08:58 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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- Fly bites,
- skin lesion in an asymptomatic traveler returned from Tanzania and
- a buffy coat smear βž•
1/3

doi.org/10.1016/j.id...
#parasitology #Medicine

15.11.2025 08:56 πŸ‘ 2 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0
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Avian influenza Avian influenza is an infectious viral disease mainly found in birds, but under certain circumstances infections can also occur in humans even though the risk is generally very low.

Avian flu continues to impact birds across #Europe, with limited human transmission risk.

Surveillance and biosecurity remain crucial to control outbreaks.

More info: www.ecdc.europa.eu/en/avian-inf...
#AvianFlu #PublicHealth

14.11.2025 09:45 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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A Pragmatic Trial of Glucocorticoids for Community-Acquired Pneumonia | NEJM Adjunctive glucocorticoids may reduce mortality among patients with severe community-acquired pneumonia (CAP) in well-resourced settings. Whether these drugs are beneficial in low-resource settings...

A Pragmatic Trial of Glucocorticoids for Community-Acquired Pneumonia | New England Journal of Medicine www.nejm.org/doi/full/10....

13.11.2025 18:51 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

β€œHole-with-dot” sign: viable CYSTICERCI containing clear fluid and a scolex

SCOLEX of DISSEMINATED CYSTICERCOSIS
2/2

doi.org/10.4269/ajtm...
#Medicine #parasitology

12.11.2025 07:41 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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A 17-YO♂️ from Indian: 5 years of episodes of secondarily generalized tonic-clonic seizures.

MR: β€œhole-with-dot” sign in the brain parenchyma, scalp and facial muscles, and the tongue.

Two buff-colored translucent conjuctival cysts in his left eye
Β½

doi.org/10.4269/ajtm...
#IDSky #neurology

12.11.2025 07:39 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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#Chikungunya #virus disease- Global situation
Per available data from January to September 2025, 263 592 suspected and 181 679 confirmed CHIKV disease cases and 155 CHIKV disease-related deaths have been reported globally.
πŸ‘‡
www.who.int/emergencies/...

10.11.2025 05:55 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The #Global Burden of #Chagas Disease Study 2023 #updated estimates show decreasing prevalence and incidence in endemic countries, highlighting the importance of socioeconomic development, housing conditions, and vector-control policies.

08.11.2025 10:27 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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#ArtificialIntelligence in Infection Surveillance:

Data Integration, Applications and Future Directions

www.sciencedirect.com/science/arti... #OpenAccess #infectiousdiseases #MicroSky #IDSky #MedSky

08.11.2025 09:08 πŸ‘ 2 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Between 20 September and 30 October 2025, a total of 404 confirmed human cases of Rift Valley fever (RVF), including 42 deaths, were reported by national health authorities in two West African countries: #Mauritania and #Senegal
www.who.int/emergencies/...

08.11.2025 07:12 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

ORF NODULE or milkers' nodule caused by a parapoxvirus, from the Poxviridae family.

5-15 days after inoculation, one or several nodules, typically on the hand, with a surrounding erythematous ring.
Resolves spontaneously in 6-8 weeks
2/2

#medicine #dermatology

03.11.2025 10:01 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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10-year-old boy ♂️, handles sheep: nodule lesion in target pattern for 3 days, and another erythematous maculopapular lesion at a different stage of evolution; in the previous week, ipsilateral axillary lymphadenopathy.
Β½

continuum.aeped.es
#pediatrics #infectiousdiseases

03.11.2025 10:00 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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First clinical pregnancy following AI-based microfluidic sperm detection and recovery in non-obstructive azoospermia Male factor infertility accounts for up to 40% of infertility cases,1 with azoospermia and cryptozoospermia (conditions characterised by absent or extremely rare sperm in the ejaculate) comprising app...

First clinical pregnancy following #AI-based microfluidic #sperm detection and recovery in non-obstructive azoospermia - The Lancet www.thelancet.com/journals/lan...

02.11.2025 12:51 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Acute acalculous cholecystitis is seen infrequently in:
- critically ill patients with trauma, shock or burns.
- some viral infections, including Epstein–Barr virus, cytomegalovirus and dengue virus

EBV acute acalculous cholecystitis has a good prognosis.
3/3

#gastroenterology #internalmedicine

01.11.2025 10:27 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Immunoglobulin Ig M and IgG antibodies + to Epstein–Barr virus viral capsid antigen βž• and βž– for antibodies to Epstein–Barr virus nuclear antigen

INFECTIOUS MONONUCLEOSIS with ACUTE ACALCULOSUS CHOLECYSTITIS

Her symptoms resolved within 7 days
2/3

#Microbiology #Medicine

01.11.2025 10:24 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
White arrows show enlarged spleen, black arrows show enlarged liver.

White arrows show enlarged spleen, black arrows show enlarged liver.

A 20-y-o♀️: sore throat, inflamed tonsils & 7 days of R upper quadrant pain; posterior cervical lymph nodes, &+ Murphy sign.
Leukocytosis &⏫liver enzymes.
CT: an enlarged gallbladder, thickened wall, pericholecystic fluid collection & hepatosplenomegaly. No stones
1/3
doi.org/10.1503/cmaj...

#IDSky

01.11.2025 10:21 πŸ‘ 0 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

Typical of CREEPING ERUPTION, OR #CUTANEOUS #LARVA MIGRANS.

The patient was treated with albendazole. After 2 weeks, the lesion healed completely. No recurrence was seen at a 2-month follow-up visit.
2/2

30.10.2025 09:00 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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A 42-year-old man: a 1-month of an intensely pruritic, migratory, moving a few millimeters to a few centimeters daily, serpiginous, erythematous raised tract on his right foot eruption after a vacation in Nigeria.
1/2

www.nejm.org/doi/abs/10.1...
#Dermatology #Medicine

30.10.2025 08:53 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0