TWiP 200: Parasites without borders

November 4, 2021

The TWiP team solves the case of the Gentleman from New York with Intestinal Issues, and review a 20 year study of butterflies, their associated parasitoid wasp and Wolbachia introduced into an island community.

Hosts: Vincent Racaniello, Dickson DespommierDaniel Griffin, and Christina Naula

Click arrow to play
Download TWiP #200 (41 MB .mp3, 68 minutes)

Subscribe (free): iTunes, Google PodcastsRSSemail

Links for this episode

Become a patron of TWiP

Case Study for TWiP 200

Man in 30s with HIV-AIDS, presents with lower extremity weakness, headache, fever, ends up in hospital. Lives with wife and her cat, doesn’t take his medications. CD4 less than 100. Told to take medicine every day, one 3x week, one weekly. Does not drink alcohol, only eats well cooked meat. Born and raised in San Juan. Has had multiple sexual exposures with multiple women over years. Thin coating on tongue, lungs bowel normal. Has weakness in lower extremities. Skin unremarkable. Labs: CT shows multiple ring enhancing lesions with surrounding edema, also on MRI.  

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Your email address will not be published.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 *