TWiP 164: Surf n’ perf

January 12, 2019

The TWiP legends solve the case of Surfer Sans Septum, and discuss how two symbiotic bacteria in the tsetse fly might allow colonization with Trypanosoma brucei.

Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin

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Download TWiP #164 (62 MB .mp3, 101 minutes)
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Case Study for TWiP 164

Welcome to Uganda. Mother brings in 4 yo female child, end of rainy season, concerned that has one day of fever, headache, cough. On exam looks ill, unremarkable except rapid heart rate, localized crackles in right lower lung. Several children in family. Spends day swimming in local stream. Take care of animals. Help gather drinking water in morning. Live in dirt floor home, thatch roof, with animals around. Saw many others with same problem. What tests do you want to do?

Send your case diagnosis, questions and comments to

Music by Ronald Jenkees

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2 comments on “TWiP 164: Surf n’ perf

  1. sophia Jan 12, 2019

    this is Sophia testing to see if this reply reaches you (following another email about tech issues) thanks