Wed, 29 August 2018
The TWiP professors solve the case of the Woman With Intracellular Ring Forms, and explore the role of Coxiella and Rickettsia endosymbionts in acquisition of Babesia by ticks.
Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin
Become a patron of TWiP.
Links for this episode:
Case Study for TWiP 157
Back to Thailand. Housewife, complaint has multiple red bumps on body, intense itching, worse at night. On head, legs, upper chest. Also does not feel well, feverish, muscle aches, difficulty breathing. Moved into abandoned residence, symptoms began a few days later. Many coconut husks around. Thatched roof. Husband and children developed similar symptoms. No med/surg history, no allergies. No meds. Unused mattresses, rat nests around. No toxic habits, no travel. No pets. On exam: not febrile, not toxic, increased heart, breathing comfortably. Has multiple red papules, central punctum. Labs unremarkable. Diff: unremarkable 6% eosinophils. Skin scraping from lesion on chest done.
Send your case diagnosis, questions and comments to firstname.lastname@example.org
Music by Ronald Jenkees
Direct download: TWiP157.mp3
Category:Medicine -- posted at: 6:56am PDT