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House

HouseFox

Season 2, Episode 7

8 medical diagnoses portrayed

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Also known as: AIDS

Opportunistic infectionsImmune reconstitution syndrome

Kalvin is an HIV-positive patient who has progressed to AIDS. His case drives the episode as his new HIV medications cause his immune system to rebound strongly, initially suspected to cause immune reconstitution syndrome. His T-cell count had dropped to 30 but rebounded to 200 after changing medications.

House — S02E07Patient: Kalvin Ryan

Also known as: Parasitic cysts from fox hunting

Cardiac cystsHepatic cystsAnaphylactic shock from cyst rupture

The ultimate diagnosis for Kalvin's cardiac and pulmonary masses. The parasitic cysts were acquired from hunting foxes in Montana, forming masses in his heart and lungs that mimicked cancer. His father has the same condition with liver cysts.

House — S02E07Patient: Kalvin Ryan
Echinococcosissupporting

Also known as: Parasitic cysts from fox hunting

Anaphylaxis

Kalvin's father has hepatic cysts from the same parasite, initially misdiagnosed as cirrhosis. House deliberately ruptures a cyst to prove the diagnosis and force the father to receive treatment, causing anaphylactic shock.

House — S02E07Patient: Kalvin's father
Anaphylaxissupporting

Also known as: Severe allergic reaction

Kalvin experiences anaphylactic shock early in the episode, initially attributed to his HIV medication Abacavir. Later revealed to be related to his parasitic condition.

House — S02E07Patient: Kalvin Ryan
Hemoptysissupporting

Also known as: Coughing up blood

Exposure of Cameron to infected blood

Kalvin coughs up blood which gets into Cameron's eyes and mouth, creating a significant plot point about HIV exposure and post-exposure prophylaxis. The bleeding is later attributed to the parasitic cysts in his lungs.

House — S02E07Patient: Kalvin Ryan

Also known as: Fluid around the heart

Cardiac tamponade

Kalvin develops pericardial effusion with fluid crushing his heart, requiring emergency drainage. Initially thought to be blood, the fluid is clear, leading to discovery of the cardiac tumor/cyst.

House — S02E07Patient: Kalvin Ryan
Mycoplasmosissupporting

Also known as: Mycoplasma infection

House's subplot involves diagnosing Stacy's rat with mycoplasmosis, a bacterial infection aggravated by cigarette smoke exposure. This parallel case helps House realize the parasitic nature of Kalvin's condition.

House — S02E07Patient: Steve McQueen (the rat)

Also known as: Heroin addiction

Kalvin uses crystal meth and ecstasy as part of his Party and Play lifestyle. His drug use is initially investigated as a possible source of toxins causing his symptoms, and also represents his self-destructive behavior following his mother's death.

House — S02E07Patient: Kalvin Ryan