TWiP 149: Stranger in a strange land

Published: March 22, 2018, 10 a.m.

Shivang joins the TWiP triumvirate to solve the case of the New Yorker With Rash and Pins and Needles, and reveal how agrochemicals increase risk of human schistosomiasis by causing high snail density.

Hosts:\xa0Vincent Racaniello, Dickson Despommier, and\xa0Daniel Griffin

Guest: Shivang Shah

Become a\xa0patron\xa0of TWiP.

Links for this episode: Case Study for TWiP 149

31 yo man ulcer on let, 4 cm diameter. Raised borders, reddish and hard. Feels well, concerned not resolving. Started as bump, slowly enlarged, ulcerated, 1 month now. Healthy, no prior med, diabetes in mom. Works in field with machete, lives with family, social drinking, smoking. Lives in isolated villages on Northern Panama archepelago, many animals and insects. Homes are raised, slats on floor. No fever, normal bp hr, breathing low teens. Healthy athletic young man, otherwise good health except for ulcer on left leg. Non tender, no pain, base of ulcer red; no purulent material, borders raised but not undermined. Feels hard around edge, no scab. Did dermoscopic exam: erythema, small yellowish teardrops, small white starbursts.

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

Music by\xa0Ronald Jenkees