TWiP 127: Kava not Cava

Published: Feb. 15, 2017, 12:47 p.m.

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

The\xa0TWiPsters\xa0solve the case of the Peace Corps\xa0Volunteer with a Liver Lesion, and discuss the dependence of\xa0Leishmania\xa0survival on the gut microbiome of the sandfly.

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Case Study for TWiP 127

The last of our trio for the Peace Corp, an eosinophilia case. 29 yo pc volunteer in Rwanda, male, 3 weeks of feeling poorly. Starts with rash on lower back and upper legs, maculopapular rash. Fatigue later, cough, then diarrhea, 51% eosinophils (9000). No significant exposure to fresh water. Stool sent for oandp. Said sat down and got something on behind, realized later was feces, this was where rash developed. OandP seeing larva in stool. HIV neg, no med issue, no surgeries, no Kava.\xa0

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