TWiP 241: There once was a patient from China

August 19, 2024

TWiP solves the case of the man from China with drenching sweats, discusses ‘worms’ found in Olympic food, and presents a new case for you to solve.

Hosts: Vincent Racaniello, Dickson Despommier, Daniel Griffin, and Christina Naula

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Download TWiP #241 (41 MB .mp3, 57 minutes)

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New Case

A woman in her 20s who has been previously healthy comes in to an Urgent Care in the NY TriState area reporting and I quote “I’ve seen small white worms in my stool since yesterday.” The small round white worms are about 1 cm in length. She reports that she recently returned from a trip to Mexico where she stayed in a luxury resort. She reports never leaving the resort, only drinking bottled water, but does volunteer that she did eat from the salad bar/buffet at the resort. She reports some lower abdominal cramping but no actual pain. She reports no fever, no chills, no rash, no diarrhea, no rectal pain, and no anal itching. Her exam is unremarkable and she refuses a rectal exam. Blood work is unremarkable and stool O+P is sent that comes back negative. 

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Music by Ronald Jenkees

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