TWiP 239: Cryptosporidiosis from NYC tap water in an AIDS patient

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 [email protected] with TWiP 239 in the subject line

Send your questions and comments to [email protected]

Music by Ronald Jenkees