Clare Warrell

Apply now to be a Clinical Fellow at the Hospital for Tropical Diseases (HTD), London Join the team and experience life at HTD — an opportunity to develop your clinical skills, broaden your experience and learn from experts in the field Find out more and apply here: www.uclh.nhs.uk/work-with-us...

Post-doc modelling post @lshtm.bsky.social Working on UK STI modelling & collab with @ukhsa.bsky.social Deadline 17th Sept. @tah-sci.com @sbfnk.bsky.social @yhgrad.bsky.social @anne-cori.bsky.social @lizfearon.bsky.social @petedodd24.bsky.social @drlouisedyson.bsky.social @ollycm.bsky.social

A tongue tremor can be a clue to tick-borne encephalitis. In TBE, tongue tremor has been reported in ~30% of patients during the neurological phase. This short video shows the finding in a woman with TBE from northeastern Italy. Paper: doi.org/10.1136/pn-2... #IDSky #TBE

📣 Opportunity for Clinical Scientists 🔬 The Rare and Imported Pathogens Laboratory (RIPL) are advertising a unique opportunity to join the highly specialist National clinical service. Join us to help shape and develop the future of the service! 🔗 Apply here: www.healthjobsuk.com/job/v8175970

@uclh is running a metagenomics service which covers 4 groups of patients; 1. Febrile neutropenic blood mNGS 2. Resp ITU BAL/ETA mNGS 3. Neurology CSF/brain tissue mNGS via GOSH 4. Febrile returned traveller blood mNGS via RIPL Seeking a resident doctor to run this www.uclh.nhs.uk/work-with-us...

Lancet: Cruise ship hantavirus outbreak in remote island communities Matthew Dryden et al bit.ly/4nNZRPT

#idboardreview 60 M has 🐈 🐕 visits India & Arizona yearly now w/pneumonia, then headache, diplopia, csf lymphocytic, ⬇️glucose ⬆️protein, coccidio IgG neg, crypto neg. Enlarged ventricles requiring VP shunt. Dx? #medEd #idmedEd #IDsky csf stain 👇

*HTD Infectious Diseases/Tropical Medicine Clinical Fellow ST3+ Job* from August 2026 for 12 months. Fantastic opportunity for ID enthusiasts to gain experience at the HTD. #IDsky beta.jobs.nhs.uk/candidate/jo... @uclh.bsky.social

Want to advance your #GlobalHealth career? With our Professional Diploma in Tropical Medicine & Hygiene you'll join doctors around the world & gain skills to diagnose, treat, & prevent diseases in limited resource settings. Runs in London 21 September-11 December 2026 👉 tinyurl.com/yrnbamhp

We have informed our National Focal Points according to the International Health Regulations and a Disease Outbreak News for the public will be issued.

Nomura’s jellyfish can grow from the size of a grain of rice to over 6 feet wide in just six months. A marvel of the ocean with a sting that packs a punch.

Are you an LSHTM DTM&H Alumni? If so do sign up for our refresher course in July!

Refresh your tropical medicine knowledge with LSHTM’s DTM&H Refresher 9-10 July 2026 in London An update for DTM&H and MSc Tropical Medicine & International Health alumni, covering key developments in TB, HIV, malaria, child health & global health research. Apply by 11 June 2026 bit.ly/41I1Pal

A 74-year-old man was admitted to the hospital with a 3-week history of intermittent fevers, muscle aches, and vomiting. Thin blood smears showed spirochetes. Read the full case details: nej.md/4uqGBL4 #MedSky #IDSky

🚀 Huge news for people living with #sleepingsickness! Acoziborole, a one-day, single-dose oral treatment developed with Sanofi, has received a positive opinion from @ema.europa.eu for the treatment of the most common form of sleeping sickness. 👉 bit.ly/46ZFpEi

#idboardreview 30 M recent travel to Japan, consumed seafood/sushi, tap water, raw fruits/vegetables, drank 4 alcoholic drinks/day, presents w/ severe epigastric pain, N,V, no relief with antiulcer tx, EGD several small mass lesions in stomach w/erosion #idsky #meded #idmeded

#idboardreview A kid was bitten by an octopus 🐙 while swimming. 2 days later: cherry-sized, red, erythematous wound w/ hemorrhagic nodus in center that didn’t heal for months. Once excised: healed completely. path with GNR #medEd #idmedEd #IDsky

📣 4 scholarships are available to support women parasitologists from LMICs to attend the ICOPA 2026 conference in Montréal (August 16-21)! Application deadline 11. February & requires proof of abstract submission (deadline 2. February). Further info: www.herminthology.com/equip

A List of Predictions Made in 1926 About 2026 🧵

The Nepal Ministry of Health and Population has reported 35 fatalities to Japanese encephalitis (JE), and another 175 cases since June, numbers significantly higher than 2024 when 80 cases were reported, including 23 deaths. outbreaknewstoday.substack.com/p/nepal-repo... #IDSky

We are recruiting! Come and join the Imported Fever Service/RIPL team as a Clinical Fellow. 1 year post. Great job, great projects, great team. Applications close 18th Jan. beta.jobs.nhs.uk/candidate/jo... @ukhsa.bsky.social @tommyrampling.bsky.social

#idboardreview 45 farmer from Uganda 🇺🇬 presents acutely w/fever, fatigue, headache, black tarry stools, nose bleed, blurry vision. Recent contact w/ sick 🐄 during birth. ⬆️Cr, LFTs, CK, LDH, ⬇️Hb, wbc. Retinitis w/ hemorrhage. Dx? #medEd #idmedEd #idsky #virologySky

Kyasanur Forest disease, a tick-borne viral fever in India's Western Ghats, is caused by a flavivirus and transmitted by Haemaphysalis spinigera ticks. Since 1957, it has spread due to deforestation and human encroachment. 🌳🦠 #idsky

🦟" #Senegal 🇸🇳 reports rapid rise in human #RiftValley fever cases: 140 confirmed cases, 18 deaths" 🌍 open.substack.com/pub/outbreak... via @outbreaknewstoday.substack.com.web.brid.gy

Published today. We found that hepatitis B was the leading cause of cirrhosis and HCC in southern Malawi. HCC is diagnosed at a very late stage. Huge opportunity to prevent liver-related death with community hepatitis B test and treat programmes. #hepsky #idsky www.thelancet.com/journals/lan...

A clinical practice guideline for tuberculous meningitis Tuberculous Meningitis International Research Consortium www.thelancet.com/journals/lan... 🔒

Cases and deaths in the state are down from the 2 previous years. Here are some clinical considerations, treatment options, and prevention strategies in relation to these infections. #IDsky #Medsky

First Case of Neuroinvasive Oropouche Virus in Wisconsin: A Case Report ✅ Just Accepted #IDSky

youtu.be/olqQj_t8QzA?... #PublicHealth #Zoonosois #IDSky #InfectiousDisease

🧵 Dengue is no longer just a tropical disease - it's showing up in Europe. This season, France, Italy, and Portugal (Madeira) have already reported locally acquired dengue cases. Check the latest #CDTR on #dengue here: bit.ly/3TQpDVu #IdSky #EpiSky #MosquitoBorne #Prevention #PublicHealth

1/ Imagine being a kid, just vibing at school, when boom—a tapeworm decides to set up camp in your brain. 🧠🏕️ Welcome to the wildest, most unexpected outbreak Belgium has seen. And no, this isn’t an episode of House MD but it reads like it. I love ID #IDSky #MedSky www.thelancet.com/journals/lan...

🥗 Washing your salad before you eat it is always a good idea, even if it is a "ready-to-eat" product Calero-Barnal et al. tested 3,329 samples from 10 European countries for Toxoplasma gondii Here's what they found 👉🏽 bit.ly/EUS30TG #EpiSky #IDSky #FoodSafety #PublicHealth

Tetanus: recognition and management. A comprehensive review in @thelancetinfdis.bsky.social with a brilliant group of co-authors. www.thelancet.com/journals/lan...

📣 ID/HIV Job opportunity: ST3+ Infectious Diseases Clinical Fellow at University College London Hospital/Hospital for Tropical Diseases from September 2025. Deadline 1/7/25 www.nhsjobs.com/job/UK/Londo...

Check out our new issue 🗞️ bit.ly/EUS3019 Findings from the rapid communication by Atkinson et al. underscore the importance of infection prevention & control measures #IPC as viable clade Ib #MPXV contamination can occur during treatment of #mpox patients #IDSky #EpiSky #MedSky #PublicHealth

Outbreak of 12 probable/confirmed histoplasmosis cases amongst travelers to 🇨🇷. All cases included: ✅ spending significant times in caves ✅ saw 🦇 ✅ had direct contact with 🦇 droppings Most pts improved without treatment. www.cdc.gov/mmwr/volumes... #IDSky

Transmission and clinical manifestations of leptospirosis in humans doi.org/10.1038/s415... #IDSky

Quick bit of CPD for a Sunday morning. Had not appreciated association between this infection & coffee... #IDSky #ClinMicro @cidjournal.bsky.social academic.oup.com/cid/advance-...

Blood-tinged saliva, light-headedness, difficulty speaking and a foreign body sensation in the throat were all reported by a 65-year-old man with severe #anemia. The cause? Oropharyngeal #leech infestation. Read the full #EdsChoice case 👉 buff.ly/RG8vYWu #MedSky #IDSky

In northern Norway, US marines are learning Arctic warfare. Here is my @financialtimes.com story on the competition between Russia, China & Nato in this region – and how troops fight in a hostile climate. With Daria Mosolova & beautiful 📷 by @kalpeshlathigra.bsky.social www.ft.com/content/76fd...

We are currently working to identify contacts of an individual who travelled to England while they were unwell with Lassa fever. This individual returned to Nigeria, where they were diagnosed. Full story news 🔗📰 www.gov.uk/government/n...

Just published 🔥 IDSA 2025 Clinical Practice Guideline Update On Histoplasmosis: Treatment of Asymptomatic Histoplasma Pulmonary Nodules (Histoplasmomas) and Mild or Moderate Acute Pulmonary Histoplasmosis in Adults,Children & Pregnant People #IDsky www.idsociety.org/practice-gui...

#idboardreview 30 M from Ethiopia in refugee camp x7d now arrived in Europe, has fever x3d f/b chills, dizziness, hepatomegaly, thrombocytopenia, ⬆️inflammatory markers. Blood smear shown. Dx? #medEd #idmedEd #IDsky

#idboardreview Pt from Taiwan p/w Headache x1mo, urine incontinence, confusion x1wk, rigidity, F, neck stiffness, peripheral eosinophilia (10%), hyponatremia. Csf eosinophilia (65%). Hx frequent snail catching & eating. MRI multiple micro bleeds. #idtwitter #MedEd #idSky #idmeded

On the 25th October 2018, from my hospital bed, I began to write. 1/5

From tick-surveillance to the first confirmed cases of tick-borne encephalitis in the UK. Super work by Helen Callaby, and a big group including clinicians across the U.K. and UKHSA diagnostics/tick surveillance teams- #RIPL #IFS #emerginginfections #idsky shorturl.at/jpnHQ

How should S.haematobium infection be managed in non-endemic regions? …This is what we came up with based on 20 years of confirmed cases at the Hospital for Tropical Diseases, London. Thanks to all co-authors including @tropdoc.bsky.social @gaurig03.bsky.social @hannahrafferty.bsky.social on bsky

Couple (68 years old and 61 years old) from Hai Duong (Vietnam) after being bitten by rats: fever, chills, edematous, swollen, infected wounds on their hands and critical condition. SODOKU DISEASE (rat bite fever). thanhnien.vn/hai-vo-chong... #IDSky #microbiology

#IdBoardReview 50 yo Caribbean male s/p bone marrow transplant 1mo ago presents w/ fever, cough, eosinophilia, thumbprint periumbilical purpuric rash. BAL sample streaked on blood agar showed winding trailing pattern. Dx? #medEd #idmedEd #Idsky