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Jonathan from the podcast Arthro-Pod joins the TWiPerati to solve the case of the Peruvian Woman With Inguinal Insect Bite,\xa0and discuss warm autoimmune hemolytic anemic that develops after\xa0babesiosis.

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

Guest: \xa0Jonathan Larson

Become a\xa0patron\xa0of TWiP.

• Jonathan Larson\xa0(Twitter, Google Plus)
• Arthro-Pod podcast
• Warm hemolytic anemia after babesiosis (NEJM)
• Tickborne diseases of the US (CDC)
• Image credit
• Letters read\xa0on TWiP 131

This episode is brought to you\xa0by Blue Apron. Blue Apron is the #1 fresh ingredient and recipe delivery service in the country. See what\u2019s on the menu this week and get your first 3 meals free with your first purchase\xa0- WITH FREE SHIPPING - by going to\xa0blueapron.com/twip.

Thailand. 39 yo man reports 7 months of coughing up bright red blood, several times with mucus. Otherwise feels well. Big fan of salted crab som tum. Fisherman, lives with family. Healthy, no past med/surg problems. No meds. On seeing him: afebrile, chest xray abnormal: area of increased opacification. Not a smoker. No toxic habits.

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

Music by\xa0Ronald Jenkees