Question

Clinical History: A 3-year-old female had a gradual onset of fever, productive cough, anorexia and diarrhea about eleven days prior to death. The breath sounds were harsh, and a few cracking rales were heard over the right base posteriorly. Sputum smear showed acid fast bacilli. Sputum cultures results became available four weeks after death, showing the presence of slow-growing colonies. The lungs showed fibrinous exudates over the pleural surfaces. The cut surface of the lung revealed innumerable small, gray-white nodules 1-4 mm in size. A large caseous tubercle of 0.5 cm was present in the left lower lobe, eroding into a large pulmonary vessel. Question #1: Based on the clinical findings, what is the causative agent of this disease? Question #2: Which of the following is the BEST diagnosis? A. Miliary (disseminated) tuberculosis B. Foreign body reaction to talcum powder C. Atypical pneumonia D. H1N1 influenza

          Clinical History: A 3-year-old female had a gradual
onset of fever, productive cough, anorexia and
diarrhea about eleven days prior to death. The breath
sounds were harsh, and a few cracking rales were
heard over the right base posteriorly.
Sputum smear showed acid fast bacilli. Sputum
cultures results became available four weeks after
death, showing the presence of slow-growing
colonies. The lungs showed fibrinous exudates over
the pleural surfaces. The cut surface of the lung
revealed innumerable small, gray-white nodules 1-4
mm in size. A large caseous tubercle of 0.5 cm was
present in the left lower lobe, eroding into a large
pulmonary vessel.
Question #1: Based on the clinical findings, what is the
causative agent of this disease?
Question #2: Which of the following is
the BEST diagnosis?
A. Miliary (disseminated) tuberculosis
B. Foreign body reaction to talcum powder
C. Atypical pneumonia
D. H1N1 influenza

clinical history a 3 year old female had a gradual onset of fever productive cough anorexia and diarrhea about eleven days prior to death the breath sounds were harsh and a few cracking rale 12416

Added by Michelle G.

Question

Please give Ace some feedback