Christina Coyle, MD @Coyle_CM X Profile

Christina Coyle, MD

@Coyle_CM

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

https://t.co/NpL0T1xCMZ

Bronx, NY

Joined April 2021

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Christina Coyle, MD

@Coyle_CM

2 years

@ESCMID @CIDJournal @PaulSaxMD

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Christina Coyle, MD

@Coyle_CM

2 years

Great to hear the Top papers in Tropical Medicine talk by Dr Martin Montes at @ESCMID; thrilled that 2 papers from @CIDJournal were chosen. https://t.co/1eoAofycic https://t.co/WRnmZtZjCl @PaulSaxMD

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Christina Coyle, MD

@Coyle_CM

2 years

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. https://t.co/1zX47i1AgK

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Christina Coyle, MD

@Coyle_CM

3 years

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)

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Christina Coyle, MD

@Coyle_CM

3 years

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)

Christina Coyle, MD

@Coyle_CM

3 years

Now lab results from case below and the urine for O& P... What are your next steps in management of this patient? (2/2)

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Christina Coyle, MD

@Coyle_CM

3 years

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_CM

3 years

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?

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Christina Coyle, MD

@Coyle_CM

3 years

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_CM

3 years

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?

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Christina Coyle, MD

@Coyle_CM

3 years

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?

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Christina Coyle, MD

@Coyle_CM

3 years

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

@ttmalawi

3 years

Nice write up of Bo Zhang’s work with retinopathy; being able to diagnose through the ‘windows to the soul’ is a game-changer.

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Paul Sax

@PaulSaxMD

3 years

Hey #IDTwitter, especially those out there doing clinical research: Excited that @CIDJournal now offers format free submissions. Another big change coming soon -- stay tuned! https://t.co/N6h6ryGIy1

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Christina Coyle, MD

@Coyle_CM

3 years

Here is a terrific article on the topic by Nash et al. https://t.co/ejcBrpscrl

pmc.ncbi.nlm.nih.gov

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,...

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Christina Coyle, MD

@Coyle_CM

3 years

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:

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Christina Coyle, MD

@Coyle_CM

3 years

This patient has a calcified lesion enhancing after gad with perilesional edema due to inflammation. This usually results in seizures. Steroids are NOT recommended unless pt has ongoing symptoms, as in this case: Rebound edema can occur when coming off steroids!!! See CT:

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Christina Coyle, MD

@Coyle_CM

3 years

Back for tweetorial on NCC case #TropMed. The answer is...Steroids alone!! https://t.co/l6VwDxZ7xq

Christina Coyle, MD

@Coyle_CM

3 years

How would you manage this patient? @swinndong @febrilepodcast @DocWoc71 @JillWeather @EvaClarkMD

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Christina Coyle, MD

@Coyle_CM

3 years

How would you manage this patient? @swinndong @febrilepodcast @DocWoc71 @JillWeather @EvaClarkMD

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Christina Coyle, MD

@Coyle_CM

3 years

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:

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Christina Coyle, MD

@Coyle_CM

3 years

Thrilled to be part of Febrile and joined by Cesar Berto to discuss our favorite topic!!! @CesarGBerto @swinndong @febrilepodcast

Febrile

@febrilepodcast

3 years

🔥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 https://t.co/m7SE7YBzbw #IDTwitter #IDMedEd #MedTwitter

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Christina Coyle, MD

@Coyle_CM

3 years

Lots of fun unraveling the cases today!

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Christina Coyle, MD

@Coyle_CM

4 years

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! https://t.co/KX03qHOPjr

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Christina Coyle, MD

@Coyle_CM

4 years

Here is a nice table regarding grain color and causative species:

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