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Links for this episode:
- Endosymbionts and Babesia in ticks (Front Microbiol)
- Q fever with Robert Heintzen (TWiM Special)
- Hero: Percy Garnham
- Image credit
- Letters read on TWiP 157
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.
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Music by Ronald Jenkees