dr mandar kubal (@drmandark) header
dr mandar kubal (@drmandark) profile picture

Director, Infectious Diseases & Pulmonary Care Pvt Ltd, Consultant Infectious Diseases & HIV Medicine, PG Dip MedicoLegal Systems,Pharma Watcher, Gamer, Foodie

Mumbai
Joined September 2009
Photo by dr mandar kubal (@drmandark)Photo by dr mandar kubal (@drmandark)Photo by dr mandar kubal (@drmandark)Photo by dr mandar kubal (@drmandark)Photo by dr mandar kubal (@drmandark)Photo by dr mandar kubal (@drmandark)Photo by dr mandar kubal (@drmandark)Photo by dr mandar kubal (@drmandark)Photo by dr mandar kubal (@drmandark)Photo by dr mandar kubal (@drmandark)
dr mandar kubal retweeted
At #AIDS2026, we saw the first prototype of @drreddys generic lenacapavir – just over a year after regulatory approval. The first generics are on track to reach 120 countries in record time, at only US$40/person/year through an agreement negotiated by Unitaid and @CHAI_health.
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The rains and lack of them at present have changed Mumbai health woes from enteric fever (pre rains) to massive spurt in respiratory aliments (Influenza including swine flu, RSV, atypical pneumonitis) occasional COVID (now picking up) and sporadic lepto. Maskup in public #mumbai
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From the upper Tons Valley to Mumbai !!! Salute to the efforts of @tonsvalleyshop @kalapian_ @saybapples @historywali
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We are now into ARDS season.
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Getting repeated calls from Real Mazon call center and Fitment Guys forcing cancellation of Home Fitment of HSRP number plate. @MMVD_RTO @MTPHereToHelp today also received call from supposed Fitment center asking to cancel home Fitment and come to centre. Order booked in March
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Staphylococcus Aureus Bacteraemia : unresolved issues
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Sepsis and Vitamin C
Sepsis subtypes & response to IV vitamin C 🧫3 sepsis subtypes based on inflammatory response profile among critically ill adults 🍋NO subtype benefitted from vit C; heterogeneity of effect in magnitude of harm 🍊similar cytokine network in all subtypes 🔓 rdcu.be/d6dHt
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Interesting updates to multiple areas of clinical relevance.
📢 The Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with #HIV have been updated. Send any feedback to HIVinfo@NIH.gov by Sept.18. Read the full guideline: bit.ly/4gquPcv
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Viral fevers, Viral lower respiratory infections, Dengue fever, inflammatory syndromes, typhoid syndromes. Physicians busy with all above in Mumbai. In paediatric age group and teens, be vigilant for MIS C clinical phenotypes. #mumbai #IDTwitter
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Influenza A including H1N1, typhoid fevers, dengue, urinary tract infections, lower respiratory tract infections rising trend observed. Fever is taking its own time to go. Falls especially in elderly due to slipping increased after rains have commenced. Physicians note #mumbai
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Now the March of the Rains
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NGS for pathogen identification has opened up an entire new dimension for treating infections. Especially when the specimen volume is low or when every report says "no growth" But results have to be correlated with a lot of personal, environmental & travel history #IDtwitter
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Mumbai respiratory ailments Uptick. Cough, Cold, Rhinnitis - allergic plus infective Acute bronchitis - allergic and viral (Nagging, refuses to go, bouts of cough) Pneumonias - bacterial triggered by a viral, Covid too is sneaking in. Influenza & Covid - both still around.
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Cough, Allergies, Exacerbations of COPD Asthma, worsening of ILDs, Fevers UTIs — all playing havoc in Mumbai. Smog/Smoke instead of Air has become the new norm. This season Pneumonia has a significant Myocarditis component. Short history, rapid deterioration 😟 #smog #Mumbai
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