{"podcast":{"title":"Diabetic Foot Files","slug":"diabetic-foot-files-7302870","podcast_index_feed_id":7302870,"rss_url":"https://feed.podbean.com/gdhutche/feed.xml","website_url":"https://gdhutche.podbean.com","image_url":"https://pbcdn1.podbean.com/imglogo/image-logo/20507692/son_halim8f236.jpg","author":"Diabetic Foot Files","episode_count":349,"summary":"Welcome to the Diabetic Foot Files Podcast—the show where we uncover the real stories, latest research, and essential tips to help prevent diabetic foot complications. I’m Dr. G aka Dr. Gabrielle Hutcheson Donaldson and as a podiatrist and wound care specialist . I’m here to educate, empower, and guide you through the world of diabetic foot care. From wound healing to amputation prevention, we’ll break down the facts, bust the myths, and share life-saving strategies. Whether you’re a patient, caregiver, or healthcare professional, this podcast is your go-to resource for healthier feet and a better quality of life. So let’s dive in—because when it comes to diabetes, every step matters!”","last_synced_at":"2026-07-28T00:18:44.165291+00:00","page_url":"https://stenobird.com/podcast/diabetic-foot-files-7302870"},"episode":{"title":"Forgotten Infection Friday — Nocardia: The Weakly Acid‑Fast Impostor","slug":"forgotten-infection-friday-nocardia-the-weakly-acid-fast-impostor","published_at":"2026-06-26T10:02:28+00:00","page_url":"https://stenobird.com/podcast/diabetic-foot-files-7302870/forgotten-infection-friday-nocardia-the-weakly-acid-fast-impostor","show_page_url":"https://stenobird.com/podcast/diabetic-foot-files-7302870","url":"https://gdhutche.podbean.com/e/when-tb-isn-t-tb-nocardia-s-sneaky-pulmonary-infection/","audio_url":"https://mcdn.podbean.com/mf/web/5adbimv9mu6fqj3j/Norcardosis_-5h4989-Optimized.mp3","summary":"A 62-year-old man with poorly controlled diabetes presented with weeks of cough, weight loss, night sweats, and cavitary lung lesions initially suspected to be tuberculosis or malignancy. Sputum TB tests were negative and symptoms progressed.Bronchoscopic lung biopsy showed branching gram‑positive filaments that were weakly acid‑fast, consistent with Nocardia species. Nocardia commonly infects immunocompromised hosts, can disseminate to the brain, and is often mistaken for TB, fungal infection, or cancer. Diagnosis relies on modified acid‑fast stain, prolonged cultures, or molecular testing.Treatment requires prolonged antibiotic therapy (commonly TMP‑SMX), sometimes IV agents for severe disease, and early recognition in diabetic or immunosuppressed patients is critical to prevent dissemination.","meta_description":"A 62-year-old man with poorly controlled diabetes presented with weeks of cough, weight loss, night sweats, and cavitary lung lesions initially suspected…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1446,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/diabetic-foot-files-7302870/episodes/forgotten-infection-friday-nocardia-the-weakly-acid-fast-impostor/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/diabetic-foot-files-7302870/forgotten-infection-friday-nocardia-the-weakly-acid-fast-impostor.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}