TWiP 121: A parasite without borders

Published: Nov. 16, 2016, 2:48 p.m.

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Hosts:\\xa0Vincent Racaniello,\\xa0Dickson Despommier,\\xa0and\\xa0Daniel Griffin

The TWiPanosome docs\\xa0solve the case of the Mali\\xa0Man with Profuse Diarrhea, and\\xa0review the presence of\\xa0Trypanosoma cruzi\\xa0in vectors, canids, and humans along the Texas-Mexico border.

Become a\\xa0patron\\xa0of TWiP.

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Case Study for TWiP 121

Back to Peru. 55 yo female from highland central valley area near Cuzco. Works in farming, no prior skin lesions but has multiple hypopigmented scars on exposed extremities (trauma during working), now reports many years of bloody nasal discharge. Seen in Lima by Daniel in outpatient clinic. No other medical problems, no surgeries, no allergies, everyone in family fine, husband and kids. Still working. No travel except to see doctor.\\xa0Exam\\xa0in right nare: ulcerated lesion inside nose, muco-cutaneous lesion. Simple test will decide. No anemia, no fever. Not eosinophilic, labs normal, HIV negative.

Send your case diagnosis, questions and comments to\\xa0twip@microbe.tv

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