TWiP 175: None alone pathognomonic

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Stworzone przez Vincent Racaniello, odkryte przez Player FM i naszą społeczność - prawa autorskie są własnością wydawcy, a nie Player FM, a dzwięk jest przesyłany bezpośrednio z ich serwerów. Naciśnij przycisk Subskrybuj, aby śledzić aktualizacje Player FM, lub wklej adres URL kanału do innych aplikacji podcastowych.

The TWiP'ers solve the case of the Sudanese Boy With Fever, and reveal antibodies against that slow invasion of red blood cells potentiate other malaria-blocking antibodies.

Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin

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Case Study for TWiP 175

70 yo man born in India, came to US 1985. Has not gone back for 2-3 years. Admitted with acute onset of fever, cough, not eating well. Was fine until a week ago, had lost consciousness, fever 102F. Negative cultures for urine and blood. Some kidney stones, type II diabetes, elevated cholesterol, no surgeries. No family medical issues. Started on vancomycin on zosyn. Works in post office, lives with house in private home. No toxic habits. Has history of hiking trip 1-2 months prior, in Rhode Island, in June. No pets, animals. Exam unimpressive. Labs: crit 25, hemoglobin 9. Platelets 39. Bilirubin 5.3. Liver enzymes slightly elevated. Chest CT clear, blood smear: anisocytosis, microcytosis, polychromasia, 4.3% reticulocytes. Daniel orders one test, 90 minutes later starts treatment. HIV negative.

Send your case diagnosis, questions and comments to twip@microbe.tv

Music by Ronald Jenkees

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