Peace Corps News: Bulletin Board: Sick with unknown pathogen
Peace Corps Online
Peace Corps Online: Peace Corps News: Bulletin Board: Sick
with unknown pathogen
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By George an FMG (132.sub-75-201-111.myvzw.com -
75.201.111.132) on Saturday, March 15, 2008 - 05:22 pm:
When you travel where there are zebras, rule out zebras.
The above tests are the SOP US tests.
Run the "zebra" tests-
1. thick smear of blood to rule out malaria
2. microscopy of stool looking for parasites repeated
3. Microscopy of sputum looking for larva
4. continued sputum examinations
5. start ruling out the lung parasites by serology, those
GI parasites that migrate to the lungs- this is very likely
from the history
Ivermectin is like a silver bullet for scabies, one tab does
it, but reinfection immediately following is frequent if all
clothes and bedding was not cleaned.
You fouled up drinking the water.
From all you say I suspect a GI parasite with a lung
migration life cycle: those are your top candidates to rule
out first.
Ignore the space cadet recommending homeopathic rattle
shaking humming Kumbaya. This is a straight tropical
medicine problem, and should be treated seriously and
addressed.
Your best folk in Tropical medicine are those who have spent
years working there and the schools of tropical medicine MPH
programs.
The easiest for you to get in contact to are the MPH
tropical medicine programs which test and treat.
Tulane is one.
Get with someone who is focused, get it identified and
treated, since it will not go away, get better, and will
continue to cause progressive problems until addressed.
Forget local emergency rooms for diagnosis or run of the
mill US flavor specialists- go directly to tropical medicine
specialists.
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