Coincidentally, on the same day I posted my mini-rant about responsibility for antimicrobial resistance, Prof. Michael Edmond, Richard P. Wenzel Professor of Internal Medicine at Virginia Commonwealth University also wrote a post about the state of infection prevention programs (no longer “infection control programs”) in the U.S. at his influential blog. It is interesting to […]

I had the distinct pleasure and honour of meeting Prof Goh Kee Tai on Wednesday. He very kindly lent me 3 books (2 of which were authored by himself) to help with the SIDS SG50 Project. Looks like lots of midnight reading ahead…  

We – as in the Society of Infectious Diseases (Singapore), or SIDS for short – have just been awarded a small grant by the SG50 Celebration Fund to carry out our project “Overcoming Infectious Diseases in Singapore: Past, Present and Future“. Singapore is a young nation at the crossroads of Asia and consistently faces the […]

As the number of persons with vancomycin-resistant enterococci (VRE) and/or carbapenem-resistant Enterobacteriaceae (CRE) colonisation or prior infection increases – both among locals and foreigners – there will be inevitably more of such colonised/infected persons that will have medical indications for high risk procedures such as organ or stem cell transplantation (HSCT). The issue at hand is […]

Yesterday evening, in a joint statement issued by the Ministry of Health (MOH), Agri-Food &Veterinary Authority of Singapore (AVA) and the National Environment Agency (NEA), the authorities revealed that there had been 238 cases of Streptococcus agalactiae (GBS) bacteraemia between 1st January and 30th June this year, compared to 150 cases per year on average for the […]

It has been slightly over a week since my earlier post on the Streptococcus agalactiae (GBS) outbreak in Singapore. There have been several initial news reports, and the Ministry of Health released a carefully worded message on 13th July stating that they were investigating the outbreak along with the Agri-Food and Veterinary Authority of Singapore (AVA) and […]

There is currently a bit of buzz about Streptococcus agalactiae (which is also referred to as Group B streptococcus, as it is the only Streptococcus species that belongs to Lancefield Group B), hence I had to update myself about this organism in a hurry. It is a Gram-positive coccus (just like MRSA), usually present as chains of cocci under the […]

Currently attending the 1st Borneo Tropical Diseases Congress, held at the Tanjung Aru Resort in Kota Kinabalu, Sabah, Malaysia. This 2-day event is organised by the Infectious Diseases Society Kota Kinabalu Sabah, which is currently led by Dr. Timothy William – an infectious diseases physician who has published extensively on malaria and other tropical diseases […]

An elderly (in her 60’s) woman went to the beach with her grandchildren, accompanying them as they dug for crabs and picked shells near a creek. Three days later, she presented with high fever accompanied by severe right lower limb pain and redness. She has a background history of diabetes mellitus which was not well controlled. […]

A middle-aged housewife who was previously well presented with high fever for 2 days, waking up drowsy and disoriented on the second day. On clinical examination, she was febrile and her conscious state was impaired (GCS: E3 V4 M5) – she was unable to answer questions appropriately, opened eyes only on calling, and was unable to follow commands consistently. Her […]