TWiP 159: Loa and Loa but not gone
The TWiP triptych\xa0solve the case of the 9/11 Survivor infested with parasites, and discuss the effect of community ivermectin treatment for\xa0onchocerciasis on Loa loa\xa0infections.
Hosts:\xa0Vincent Racaniello, Dickson Despommier, and\xa0Daniel Griffin
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Links for this episode:- Ivermectin for onchocerciasis and loiasis (PLoS NTD)
- Hero: William Boog Leishman
- Thanks to Caitlin for the image
- Letters read\xa0on TWiP 159
Going back to India, gentleman in 20s seen during rainy season in south. Week of feely achy, fever, severe pain in right upper part of belly. Vomiting, no diarrhea. Married, no children, works indoors in trades - electrician. Drinks large amount of palm date liquor. Previously healthy, no allergies, no medical issues. No travel. On exam: right lung base decreased breath sounds; upper right area of belly can feel liver coming down. Area of intercostal tenderness. Elevated white count; left shift, eosinopenic, alk phos up. Chest xray: shows effusion in right base. Ultrasound of liver: fluid filled single lesion. Lesion aspirated.
Send your case diagnosis, questions and comments to\xa0twip@microbe.tv
Music by\xa0Ronald Jenkees