#495 Fungal Infections -Histo/Blasto/Cocci with Dr. Andrej Spec

#495 Fungal Infections -Histo/Blasto/Cocci with Dr. Andrej Spec

Author: The Curbsiders Internal Medicine Podcast August 18, 2025 Duration: 1:12:46
Why we need to stop calling them “endemic” mycoses & more fungi fun!

Feeling muddled about endemic mycoses? We tackle the clinical presentation of diseases like histoplasmosis, blastomycosis, and coccidioidomycosis, the importance of testing, and how to diagnose fungal infections  with our esteemed guest Dr. Andrej Spec, MD!

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Show Segments

  • Introduction and icebreaker,  Fish Club?!  00:00
  • Case 1 from Kashlak 07:27
  • Diagnostic framework for dimorphic fungi 11:58
  • Imaging presentations for fungal pneumonia, diagnostic schemas 18:23
  • Testing options 27:48
  • Treatment options 35:44
  • Dimorphic Fungi Mnemonics 45:50
  • Retail testing for mold 48:47
  • Case 2 from Kashlak 56: 42
  • Takeaways and Conclusions 1:05:19

Credits

  • Producer, Writer, Show Notes:  Beth “Garbs” Gasperlin MD
  • Infographic and Cover Art: Zoya Surani
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP,  Beth Gasperlin MD  
  • Reviewer: Leah Witt Gaspard MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Andrej Spec MD

Disclosures

Dr. Spec reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

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Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
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