TWiP 157: What a long, strange TWiP it’s been

August 29, 2018

Endosymbionts and BabesiaThe 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

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Download TWiP #157 (64 MB .mp3, 106 minutes)
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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

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