TWiP 209: A worm in paradise
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The TWiP team solves the case of the Woman From Hawaii With Allodynia and abdominal pain, bilateral hip and leg pain, dizziness, and diffuse hyperesthesia.
Hosts:\\xa0Vincent Racaniello, Dickson Despommier,\\xa0Daniel Griffin, and Christina Naula
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Links for this episode
- Use coupon code MicrobeTV when purchasing a spike t-shirt from Vaccinated.us
- Accidental host (TWiP 207)
- Hero: Dan Colley
- Letters read on TWiP 209
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Case Study for TWiP 209
Man in his early 70s with PMH sig for HTN, DM-II, HLD, BPH is admitted to the hospital after coming from Guatemala to visit his son. He feels faint with standing and is noted to have a HR in the 40s and does not feel well when he stands. He is also noted to have diarrhea, but this has been going for an unclear period of time. On EKG he is noted to have a RBBB.
PMH\\xa0 HTN, DM-II, HLD, BPH PSH neg
Allergies NKADR
Social -no toxic habits reported, reports living in Guatemala City but grew up in the rural areas. Enjoys fruit juice
FH-noncontrib
Exam: slow heart rate, orthostatic
A number of blood and stool tests are collected and he is referred to a tertiary care center for implantation of a cardiac pacemaker. At the tertiary care center the patient is seen by an Infectious Disease Specialist and a number of tests are ordered by the Infectious Disease Consultant but they are canceled by Cardiologist who writes in their note \\u201cno concern for an infectious process\\u201d. Now one of the tests collected at the first hospital returns with an interesting result that is later confirmed by a second test.
Send your case diagnosis, questions and comments to\\xa0twip@microbe.tv
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