Coxsackievirus 30 Multiple Choice 1 point Case study: Julia is a 42-year old African-American female, 5'6" and weighs 180 lbs. She was accommodated in an Austrian refugee center presented to the ear nose, and throat (ENT) department of a local hospital. The patient reported a massive sore throat and a slightly elevated temperature for four days. Clinical examination showed tonsils covered with white membranes with the left tonsil partly destroyed. The neck lymph nodes were bilaterally swollen. Further medical exams confirmed a gram-positive bacterium which blocks protein synthesis. Which one of the following is the best strategy for the treatment? Electrolyte therapy It is self-limiting. Antitoxin Antivirals Submit
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Further medical exams confirmed a gram-positive bacterium that blocks protein synthesis. The question asks for the best treatment strategy. Step 2: Analyze the symptoms and diagnosis. - **Massive sore throat, elevated temperature, tonsils covered with white Show more…
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CASE #2 At the Mount Union hospital, a 5-year old white male child in good general health and physical condition was presented at the Saturday walk-in clinic by his mother. He was brought in because he had a fever, was cranky and had complained of a sore throat for about 24 hours. On physical examination by the attending resident, the patient had a fever of 39.3C, and he had considerable swelling and drainage of the pharynx and in the conjunctivae. His tonsils were enlarged and coated with a white patchy exudate. He had a red throat and swollen anterior cervical lymph nodes. His ears were clear. His chest sounded clear and he had no additional remarkable findings on routine examination. 1. What would be your primary diagnosis of this patient? 2. What agent do you think is causing this problem? How would you go about investigating what the causative agent is? Please be specific and include specimen, microscopy, media, biochemical tests, etc. 3. What sort of virulence traits would this microorganism have or need to cause this infection? 4. Would epidemiological data be needed to resolve this case? Explain why or why not and if so what would you be looking for? 5. What is your diagnosis and treatment strategy?
Adi S.
Kelan H.
BIO 220 – CLINICAL MICROBIOLOGY CASE STUDY #2 NAME: A 19 yo female recruit in the US Army was seen in the infirmary with a 3 day history of a –sore throat–, malaise and headache of progressing severity. On examination her throat was erythematous without the presence of pustular or vesicular lesions. She had mild cervical lymphadenopathy and her temperature was 101F. No history of medication or other allergies were reported. 1) What is your diagnosis at this time? 2) What lab tests, if any, would you perform at this time? 3) What is your treatment at this time? Two days later the patient reports to the infirmary with a severe headache, –stiff neck–, nausea, and a temperature of 103.5F. 4) What is your diagnosis at this time? (BE SPECIFIC!) 5) What procedure needs to be performed at this point?
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