The TWiP professors\xa0solve the case of the Woman With Intracellular Ring Forms, and explore the role of Coxiella\xa0and Rickettsia\xa0endosymbionts in acquisition of Babesia\xa0by ticks.
Hosts:\xa0Vincent Racaniello, Dickson Despommier, and\xa0Daniel Griffin
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Links for this episode:Back to Thailand. Housewife, complaint has multiple red bumps on body, intense itching, worse at night. On head, legs, upper chest. Also does not feel well, feverish, muscle aches, difficulty breathing. Moved into abandoned residence, symptoms began a few days later. Many coconut husks around. Thatched roof. Husband and children developed similar symptoms. No med/surg history, no allergies. No meds. Unused mattresses, rat nests around. No toxic habits, no travel. No pets. On exam: not febrile, not toxic, increased heart, breathing comfortably. Has multiple red papules, central punctum. Labs unremarkable. Diff: unremarkable 6% eosinophils. Skin scraping from lesion on chest done.
Send your case diagnosis, questions and comments to\xa0twip@microbe.tv
Music by\xa0Ronald Jenkees