TWiP 95: Arsenic and Leishmania
Vincent, Dickson, and Daniel solve the case about the 33 year old Chinese male with watery diarrhea, and discuss whether arsenic in drinking water might lead to treatment failures for\xa0Leishmania\xa0infections.
\nHosts:\xa0Vincent Racaniello,\xa0Dickson Despommier, and Daniel Griffin
\nLinks for this episode:\n- \n
- TWiP 17:\xa0Entamoeba histolytica \n
- Arsenic exposure\xa0and\xa0Leishmania\xa0treatment outcomes (PLoS NTD) \n
- TWiP 14:\xa0Leishmania \n
- Letters read\xa0on TWiP 95 \n
This episode is sponsored by\xa0ASMGAP.
\nCase study for TWiP 95\nDaniel's patient for this week is a\xa028 yo single female, returns from beach vacation with new boyfriend. Two weeks in Central America (Belize). Often found secluded beaches. Good health, noticed upon her return had small nodules/papules on front of thighs. Thought were insect bites, became very itchy. Noticed serpiginous red lines forming, radiating out from bumps. Felt things moving in her skin. Benadryl did not help. Daniel say something similar occurs in Lima. Healthy, no allergies, surgeries, no relevant family history, using barrier contraception, sexually active. Only drinks alcohol socially. Boyfriend did not report symptoms. She did lie on sand, used thin fabric. Stayed in hotel. There were wild dogs on beach. During her stay she ate ceviche. No intestinal symptoms.
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