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Links for this episode:
- Ivermectin for onchocerciasis and loiasis (PLoS NTD)
- Hero: William Boog Leishman
- Thanks to Caitlin for the image
- Letters read on TWiP 159
Case Study for TWiP 159
Going back to India, gentleman in 20s seen during rainy season in south. Week of feeling achy, fever, severe pain in right upper part of belly. Vomiting, no diarrhea. Married, no children, works indoors in trades – electrician. Drinks large amount of palm date liquor. Previously healthy, no allergies, no medical issues. No travel. On exam: right lung base decreased breath sounds; upper right area of belly can feel liver coming down. Area of intercostal tenderness. Elevated white count; left shift, eosinopenic, alk phos up. Chest xray: shows effusion in right base. Ultrasound of liver: fluid filled single lesion. Lesion aspirated.
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Music by Ronald Jenkees