@Coyle_CM

Professor of Medicine @EinsteinMed, ID doctor at Jacobi Medical Center. Passionate about #TropMed and #ImmigrantHealth.

 Bronx, NY
einsteinmed.org/faculty/1370/christina-coyle/
Joined April 2021
  • Tweets188
  • Following66
  • Followers1.1K
66Media
Great to hear the Top papers in Tropical Medicine talk by Dr Martin Montes at @ESCMID; thrilled that 2 papers from @CIDJournal were chosen. pubmed.ncbi.nlm.nih.gov/3723… pubmed.ncbi.nlm.nih.gov/3710… @PaulSaxMD
2
16
1,758
@ESCMID @CIDJournal @PaulSaxMD
1
428
Join us virtually to hear about Chagas disease by renowned experts. If you are a healthcare provider, you can register for free one day only! Please click the link below to register by Thursday, April 11th at 5:00pm EST. einsteinmed.co1.qualtrics.co…
1
5
758
Ok.. we have a 10 year old with urinary schistosomiasis (eggs in urine), abdominal pain and a bladder US showing nodular thickening of the bladder. You gave praziquantel.... next steps? Let's vote (2/2)
22%Bladder biopsy
49%Repeat US in three months
29%Hmm... not sure.
91 votes • Final results
1
6
1,718
I am back for more discussion #Tropmed schisto case ..yes, @tmhohl71 and others are right! Give praziquantel and get an US. Bladder US with focal nodular thickening. Ureters are ok. I will be sending you a quiz on what do next. (1/2)
Ultrasound bladder foci of nodular thickening 1.6x.6 and 1.5 x.5 cm No hydronephrosis

ALT Ultrasound bladder foci of nodular thickening 1.6x.6 and 1.5 x.5 cm No hydronephrosis

Christina Coyle, MD@Coyle_CM1 Mar 2023
Now lab results from case below and the urine for O& P... What are your next steps in management of this patient? (2/2)
4
1,702
Hey #IDTwitter. . some comments on our #Tropmed case ...On further questioning he noted hematuria and abdominal pain for a year. Work up for eosinophilia in returning migrant with eosinophilia from West Africa outlined here ... Thanks for all your feedback! (1/2)
Christina Coyle, MD@Coyle_CM28 Feb 2023
Hey #IDTwitter #MedTwitter another #TropMed case to unravel: A 10-year-old migrated from Mali 4 months ago c/o abdominal pain. No fever or diarrhea. WBC 9K 25% eos. Hg and Plt WNL. Chemistries normal. PE: lower abdominal pain. Next on your work up?
1
7
3
40
12,846
Now lab results from case below and the urine for O& P... What are your next steps in management of this patient? (2/2)
Christina Coyle, MD@Coyle_CM28 Feb 2023
Hey #IDTwitter #MedTwitter another #TropMed case to unravel: A 10-year-old migrated from Mali 4 months ago c/o abdominal pain. No fever or diarrhea. WBC 9K 25% eos. Hg and Plt WNL. Chemistries normal. PE: lower abdominal pain. Next on your work up?
2
2
1
12
7,505
Hey #IDTwitter #MedTwitter another #TropMed case to unravel: A 10-year-old migrated from Mali 4 months ago c/o abdominal pain. No fever or diarrhea. WBC 9K 25% eos. Hg and Plt WNL. Chemistries normal. PE: lower abdominal pain. Next on your work up?
4
1
1
18
20,426
Check out this terrific work on malaria retinopathy.. Turns out our eyes are a window not only to the soul, but the brain in severe malaria @ttmalawi
Terrie Taylor@ttmalawi21 Feb 2023
Nice write up of Bo Zhang’s work with retinopathy; being able to diagnose through the ‘windows to the soul’ is a game-changer. fredhutch.org/en/news/spotli…

Eyes are the window to the soul (and malaria in the brain)

A study from the Zhang lab finds that damage to the blood cells in the retina is a reliable predictor of malarial infection in the brain.

fredhutch.org
1
6
1,763
Christina Coyle, MD retweeted
Paul Sax@PaulSaxMD23 Jan 2023
Hey #IDTwitter, especially those out there doing clinical research: Excited that @CIDJournal now offers format free submissions. Another big change coming soon -- stay tuned! academic.oup.com/cid/pages/M…
4
32
5
203
32,997
Back for tweetorial on NCC case #TropMed. The answer is...Steroids alone!! xitter.cf/Coyle_CM/status/160498…
Christina Coyle, MD@Coyle_CM19 Dec 2022
Replying to @Coyle_CM
How would you manage this patient? @swinndong @febrilepodcast @DocWoc71 @JillWeather @EvaClarkMD
77%Albendazole PLUS steroids
5%Surgical removal
8%Albendazole alone
10%Steroids alone
215 votes • Final results
1
1
5
3,401
more replies
Let's look at clues on MRI, as calcified lesions with perilesional edema commonly get mistaken for a degenerating cyst. Remember they are always enhancing on T1 post gad! A useful sequence is SWI: Calcified lesions look black. This is your stand in for a CT scan. Take a look:
1
2
609
Here is a terrific article on the topic by Nash et al. ncbi.nlm.nih.gov/pmc/article…

Disease Centered Around Calcified Taenia solium Granuloma

Taenia solium (the pork tapeworm) is present in most developing countries, where it is a frequent cause of seizures and other neurological disease. Parasitic larvae invade the human brain, establish,...

pmc.ncbi.nlm.nih.gov
1
375
New #TropMed case of Neurocysticercosis (NCC) following our Febrile Episode @CesarGBerto A 53 year old male from rural Mexico presents with R sided weakness resulting in a fall. On exam: R hemiparesis- NCC Western blot +. Previously told he had a "brain" parasite. MRI showed:
1
3
27
10,128
How would you manage this patient? @swinndong @febrilepodcast @DocWoc71 @JillWeather @EvaClarkMD
77%Albendazole PLUS steroids
5%Surgical removal
8%Albendazole alone
10%Steroids alone
215 votes • Final results
1
3
2
7
10,156
Thrilled to be part of Febrile and joined by Cesar Berto to discuss our favorite topic!!! @CesarGBerto @swinndong @febrilepodcast
Febrile@febrilepodcast13 Dec 2022
🔥Check out our newest episode featuring return guests @CesarGBerto & @Coyle_CM discussing management of cysts in the 🧠 (you can guess the organism by the description and cover art!) 👂Subscribe anywhere🎙️are found febrilepodcast.captivate.fm/… #IDTwitter #IDMedEd #MedTwitter
4
1
20
8,504
Lots of fun unraveling the cases today!
This Post is from an account that no longer exists. Learn more
5
Many of you got this correct. The diagnosis is mycetoma, which is an infection of the subcutaneous tissue characterized by infiltrative masses with sinus formation and discharges that contain grains.
Christina Coyle, MD@Coyle_CM17 Feb 2022
Replying to @Coyle_CM
Let's look at a patient who immigrated from Guatemala 15 years ago. Presented 2 years after migration with a swollen foot and multiple sinuses extruding black granules. He was treated for a "fungal infection" and still not better...
2
2
more replies
Here is a nice table regarding grain color and causative species:
BMC Dermatology 2020; 20 (1), pp 1-7.

ALT BMC Dermatology 2020; 20 (1), pp 1-7.

1
2
7
This patient from S. America had black granules suggesting a fungal mycetoma. PCR was positive for Nigrograna spp, which is an emerging cause of eumycetoma in S. America, in addition to T. grisea. He is responding to voriconazole! journals.asm.org/doi/pdf/10.…
4
Load more