Day 11: coming soon


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Day 6: lepto, bucella, anthrax, scrub typhus

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Today’s lectures started with a breakdown of leptospirosis, I think the take away message is that this can look like a vasculitis (in a sense it is – invading endothelial cells), much like Rickettsia diseases. It can enter the body through mucosa, skin cuts/abrasions and the organism has burrowing motility. Just about any organ is fair game – liver, CNS, kidneys, and lungs. The organism is often transmitted from rodents, and can stay in rat kidneys for years. The bacteria can survive in fresh water and soil for many weeks, especially with neutral or alkaline pH, thus people at risk are sewage workers, people that work on rice farms, soldiers, people going rafting, and triathalon-ers. Rodents are the reservoir but there are over 150 animal reservoirs including cattle, pigs, and dogs. Thus it being labelled as the champion of zoonoses. The study above was done in India at several hospitals, the above are a list of undifferentiated fever of people presenting, notic...
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Blog day 2.5: Siem Reap and AngKor Wat

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Although today was and early start (left at 4:30 am), was a fun packed day. Started off at Angkor Wat, where we had a tour guide, I understood about 40% of what he was saying, but was a bit tired and don’t think I would have paid great attention anyways. After went quad biking around Cambodia which was fantastic, took us through some rice fields which is kinda what I picture when I think of Cambodia. In the evening I saw a circus group/play – lots of old white people who were taking way too many pictures (it was good.. but not that good). Our group had organized a going out in Pub Street to “yolo bar”, definitely was a foreigners bar, but was entertaining – beer pong, glow in the dark face paint, and games requiring one to squat on one leg and pick up money with their mouth, one of our group members one us a bucket of gin. The streets went nuts, full of people drinking in miniature box night club stands, and little kids trying to sell random things to tourists. ...
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Day 10: tape worms, echinococcus

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Tapeworms: Today we discussed tapeworms, fish tape worm D. latum, pork Tape worm (T. Solium), beef tape worm (T. saginata). Of all of them, probably the most significant is the pork tape worm, not so much because infection with it causes disease, but ingestion of its eggs causes neurocysticercosis.   http://www.nejm.org/doi/full/10.1056/NEJM199209033271004 The article often quoted to demonstrate this point with orthodox Jews in New York who acquired it because their South American workers who were preparing the food had the tape worm themselves. Having tapeworms can be difficult to diagnose, we were told of one patient who was actually given anti-pscyh medications, the take home point being to document (picture and or bring in the worm or proglottids), to help identify it. Thereis a stool antigen (ELISA) for T. solium. Hymenolepsis nana (not to be confused with E. nana) is a dwarf tapeworm causing abdo pain and possibly pruritis, the one reason to check stool O&P in...
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