TWiP 195: Shocking diseases in attractive NY accents

May 31, 2021

Christina returns to the TWiP trifecta to solve the case of the Beachgoer with Red Lines on Her foot, and an experimental malaria vaccine based on the junctional region of the circumsporozoite protein displayed on a virus-like particle.

Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin

Guest: Christina Naula

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Download TWiP #195 (49 MB .mp3, 81 minutes)

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Case Study for TWiP 195

Gentleman in 60s, does not have permanent home, comes in with skin issues. Pruritis all over. Wearing heavy coat, unwashed polyester shirt. 1 cm diameter patches, erythematous, areas where open from scratching. Cover much of torso. Solve case by examining his clothes.  

Send your case diagnosis, questions and comments to

Music by Ronald Jenkees

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One comment on “TWiP 195: Shocking diseases in attractive NY accents

  1. Gabriel Jimenez Jun 1, 2021

    Hello to everyone, thank you for taking my answer.
    I am a biologist, and I studied animal parasitology in school. I also have experience having grown up on a farm in Rosarito, Baja California, Mexico and have learned firsthand about both animal and plant parasites.
    The fact that the inspection of the patient did not give the cause or culprit of the symptoms, and the heavy coat did, leads me to think of a parasite like bed bugs( Cimex lectularius), which do not actually live on their hosts, but on their bedding, or in this case clothing. The size of the red skin marks of 1 cm is within the range of possible reactions of the skin when bitten by this insect. The itching goes well with this diagnosis, including the persistent itching as to cause breakage of the skin and scabbing.
    Greetings Gabriel