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TWiP 239: Cryptosporidiosis from NYC tap water in an AIDS patient
Manage episode 429691701 series 76477
TWiP solves the case of the AIDS patient who developed fever and watery diarrhea after drinking NYC tap water, and present a new case for your sleuthing.
Hosts: Vincent Racaniello and Daniel Griffin
Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email
Links for this episode- Join the MicrobeTV Discord server
- Cryptosporidium (TWiP 18)
- Letters read on TWiP 239
Become a patron of TWiP
New Case
Man in his 70s originally from Mainland China, then Hong Kong who has been living in the US for decades is admitted to the hospital with fever for 6 days. He reports that he saw his primary care physician in Queens and was referred to the hospital after blood work revealed a sodium level of 123 and an increased monocyte count. Pt reports drenching sweats, lots of outdoor activity walking in local parks in Queens. He reports he does not feel particularly sick. PMH-HTN, BPH PSH-neg Social-retired, no wife, has one son, no pets, no exotic exposures or recent travel VS febrile to 39.5, tachycardia, meets sepsis criteria PE -unremarkable Labs, nl wbc, eos-0, elevated neutrophils and monocytes, Na-123, elevated AST, elevated ALT, low platelets, low Hct, CT Chest A/P unremarkable
Send your guesses to twip@microbe.tv with TWiP 239 in the subject line
Send your questions and comments to twip@microbe.tv
Music by Ronald Jenkees
242 episodes
Manage episode 429691701 series 76477
TWiP solves the case of the AIDS patient who developed fever and watery diarrhea after drinking NYC tap water, and present a new case for your sleuthing.
Hosts: Vincent Racaniello and Daniel Griffin
Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email
Links for this episode- Join the MicrobeTV Discord server
- Cryptosporidium (TWiP 18)
- Letters read on TWiP 239
Become a patron of TWiP
New Case
Man in his 70s originally from Mainland China, then Hong Kong who has been living in the US for decades is admitted to the hospital with fever for 6 days. He reports that he saw his primary care physician in Queens and was referred to the hospital after blood work revealed a sodium level of 123 and an increased monocyte count. Pt reports drenching sweats, lots of outdoor activity walking in local parks in Queens. He reports he does not feel particularly sick. PMH-HTN, BPH PSH-neg Social-retired, no wife, has one son, no pets, no exotic exposures or recent travel VS febrile to 39.5, tachycardia, meets sepsis criteria PE -unremarkable Labs, nl wbc, eos-0, elevated neutrophils and monocytes, Na-123, elevated AST, elevated ALT, low platelets, low Hct, CT Chest A/P unremarkable
Send your guesses to twip@microbe.tv with TWiP 239 in the subject line
Send your questions and comments to twip@microbe.tv
Music by Ronald Jenkees
242 episodes
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