TWiP 251: Case of the facial ulcer

TWiP solves the case of the woman who went to Belize and notices a lesion on her face, and presents a new clinical case for you to solve.

Hosts: Vincent Racaniello, Daniel Griffin, and Christina Naula

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Recent case, Arusha hospital, 1800 m, 28 yo comes in, has been visiting game parks. Developing fevers, malaise, bad headaches, body aches, somnolent. Blood smears negative, no malaria. Repeat blood smear, see something extra-erythrocytic. This gives them the diagnosis. HIV neg, no toxic habits, no history. Symptom onset about a week ago. Rest of family is ok. 

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Music by Ronald Jenkees