TWiP 235: The case of the regurgitated wriggler

TWiP solves the case of a man in his 50s reporting months of abdominal discomfort, who takes mebendazole and some time afterwards vomits a worm into the sink.
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[@42meralee]

I enjoyed your illustrated sailboat discussion. I love it when the tall ships come into Coos Bay, Oregon. We had a 32' Atkins design ferro-cement sloop fhat we sailed with the Baja Haha XII, or was it XIII, in 2006.

[@42meralee]

Back in the day, sailing Mexico, when I conversed with world travelers, I would ask their favorite places to sail. It was interesting to note how often Turkey was mentioned.

[@sciencefliestothemoon2305]

To the first Vienna parasite club, Ascaris has a life span of about 1 year. Your patient appears to have a food source that is contaminated with human feces (or from pigs) either his/her own or someone elses. This should probably be reported to the health care officials, as other people could be infested.

[@LisaMartinez-ri6ve]

Oh geez I love Venison and only order it in restaurants where it has been farm raised. After researching the illness post venison meal, I am fairly certain I now know what caused the illness. I will stay tuned for the next TWiP to see if my conclusion is correct. Bottom line now I need to make sure the chef cooks it properly I guess. Thanks TWiP team for all you do😎

[@danielasuncion9991]

The Wriggler. Wasn't that a bad guy on the old BATMAN television series (1960's)? No, wait...

[@shannond.4129]

Hehe I came home from Vietnam Nam and China with ascaris, it presented while I was in nursing school, I got extra credit in A&P for my project on it. Looking back I had funny symptoms when I was infected, I’d wake up in the middle of the night gagging after dinner of spicy shabu shabu and sake 😳

[@Rene-uz3eb]

Helmintic infections are not a sign of poverty. Malnutrition only exacerbates symptoms and makes them more obvious.

[@sciencefliestothemoon2305]

Ehm human to human soil transmitted helminths are largely in areas of poverty. In a developed area, the best you can usually pick up is strongy, and even then someone has to defecate on the ground.

[@PLERF]

The V&D Show

[@mixload]

Sloop John B for another musical reference 😄

[@digitalmarketing7315]

I also like your video.