TWiP 193: A serpiginous trail

March 29, 2021

Audun returns to help solve the case of the Ecuadorean Gentleman Treated for COVID-19, followed by a discussion of the interaction of Blastocystis with the intestinal microbiota and the immune system, and of course a new clinical case from Daniel.

Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin

Guest: Audun Lier

Click arrow to play
Download TWiP #192 (46 MB .mp3, 76 minutes)

Subscribe (free): iTunes, Google PodcastsRSSemail

Links for this episode

Become a patron of TWiP

Case Study for TWiP 193

Male, 50s, seen by physician for unilateral eye pain, blurred vision, watery drainage. Soft contact lens wearer. Given eye drops, oral medication, sent for another opinion when does not resolve. Has hypertension, hyperlipidemia, no surgeries, no allergies, is on hypertension/statin med. Works in store. No toxic substance use. HIV negative. Lives on large piece of land with his own well, away from city, own septic tank. Left eye is very red. Ophthalmologist report: decreased visual acuity in left eye, injection of conjunctiva, edema, erosions, send corneal scrapings for culture. Swims in Long Island Sound. No travel history. No pets. 

Send your case diagnosis, questions and comments to

Music by Ronald Jenkees

Leave a Reply

Your email address will not be published. Required fields are marked *

One comment on “TWiP 193: A serpiginous trail

  1. Sherry Young Apr 19, 2021

    I would like to know if you have transcripts of each podcast?
    Thank you!