TWiP 222: Balamuthia in the brain with Natasha Spottiswoode
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At the meeting of the American Society for Tropical Medicine and Hygeine in Chicago, Natasha joins TWiP to solve the case of the Man with a Generalized Seizure and Infectious Forms in the Brain.
Hosts:\\xa0Vincent Racaniello,\\xa0Dickson Despommier,\\xa0Daniel Griffin, and Christina Naula
Guest:\\xa0Natasha Spottiswoode
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Links for this episode
- Treatment of\\xa0Balamuthia\\xa0encephalitis with\\xa0nitroxoline\\xa0(Emerg Inf Dis)
- Letters read\\xa0on TWiP 222
Become a\\xa0patron\\xa0of TWiP
Case Study for TWiP 222
Haitian creole speaking, cachetic female in her 50s w/ hx HIV (noncompliant on medication), migrating from Haiti brought in by her daughter for dysphagia, cough x days, associated with NBNB vomiting, oral thrush extending to soft palate, concerning for oropharyngeal candidiasis. Weeks of nonresolving diarrhea. Admitted for failure to thrive and deconditioning, found to be Parainfluenza 3 positive), undergoing TB rule out.\\xa0Diarrhea is voluminous, pt is dehydrated, there has been significant weight loss and lethargy over the last few weeks.
MHx:
HIV\\xa0
Shx:
Lives in haiti
Remarried, Last sexual encounter 2 years ago.
Denies illicit drug use. Drinks alcohol\\xa0
Allergies: No Active Allergies
Labs return with CD4 count in the 50s, elevated viral load. CD4 55/3%
Send your case diagnosis, questions and comments to\\xa0twip@microbe.tv
Music by\\xa0Ronald Jenkees
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