TWiP 98: Resistance is not futile

The TWiP-lets reveal Balamuthia infection in the Children from Peru, and discuss resistance to pyrethroids revealed by RNA sequencing of Anopheles mosquitoes. Hosts: Vincent Racaniello, Dickson Despommier, and Daniel Griffin Links for this episode: Balamuthia (CDC) Pyrethroid resistance in Anopheles (Parasit Vectors) Voltage-gated sodium channels Pyrethroid (Wikipedia) Image credit Letters read on TWiP 98 Case study for TWiP 98 This week's case is a Professor clinician, teacher, researcher.  In his 50s, he presents with lesion on big toe, anterior portion, tip, nodular. No surrounding redness, area is itchy. Has a small central black area the size of pencil tip, concerned because feels is getting larger over last week. Spooky. Travels, last in Brasil, had been for a few weeks, noticed toe issue a week after returned. Spent time on beach, but wore flip flops. Different types of beaches, crowded and not crowded. Went with wife. Healthy man, no prior medical problems. Send your diagnosis to [email protected] Contact Send your questions and comments (email or mp3 file) to [email protected] Subscribe Subscribe to TWiP (free) in iTunes, by the RSS feed or by email