TWiP 122: If the thunder don't get you, the lightning will

Published: Dec. 6, 2016, 9:23 p.m.

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

The TWiPniks\\xa0docs solve the case of the\\xa0Female from Peru\\xa0with\\xa0Epistaxis, and discuss the effect of community deworming on\\xa0immunosuppression.

Become a\\xa0patron\\xa0of TWiP.

Links for this episode:

  • Community deworming and immune hyporesponsiveness (PNAS)
  • Paul C. Beaver (one,\\xa0two)
  • Photo by Oscar Adam Oscarson
  • Letters read\\xa0on TWiP 122

This episode is sponsored by\\xa0CuriosityStream,\\xa0a subscription streaming service that offers over 1,400 documentaries and non\\xadfiction series from the world\'s best filmmakers. Get unlimited access starting at just $2.99 a month, and for our audience, the first two months are completely free if you sign up at\\xa0curiositystream.com/microbe\\xa0and use the promo code MICROBE.

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Case Study for TWiP 122
First of a series of cases with a theme, a\\xa023 yo female international aid worker, chief complaint of diarrhea. Dutch descent, born in US, been in rural area of western DR, close to Haitian border. It\\u2019s been raining, houses have tin roofs, other flat concrete, rainwater pours off. Child comes by with mangoes, she buys one, washes it in rain water from the roof. Bites open mango, peels it, eats mango. The same night she is not feeling well, loose stools, abdominal discomfort. Next day, goes with group to border town; then has full fledged diarrhea. Looks into toilet, sees white objects 1 cm in length on stool, and they are moving. Uniform width, thinner than long, wormy looking. Has been participating in other activities in this area, swims in local river, walks barefoot, eating lot of local foods. Lunch: rice, beans, cooked meat, avocado. Dinner, yucca, fried salami, etc. Healthy before, no family history, not on meds, living with one of local families, no toxic habits. Dogs, cats, pigs, chickens around. One month earlier, cat in family home had kittens, she played with them. Very excited about that. Local physician contacted, he treats her.\\xa0

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

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