Question

INFECTIOUS DISEASE CASE STUDY 10: Tuberculosis The patient was an 18-year-old female who presented to the pediatric emergency room with a 1-month history of cough, fever, and night sweats. Her medical history was notable for a positive PPD test when she was younger, for which she was placed on isoniazid. She did not take the medication as directed and had not since seen a doctor. The patient has a more recent history of illegal drug use and identified that she lived in a small apartment in the inner city with 4 other people. A chest x-ray revealed right upper lobe infiltrate and a sputum culture was positive for acid-fast bacilli. 1. What is the scientific name of the etiologic agent of tuberculosis? (Use 2 words, separated by a space, and with the genus name capitalized. 2. Match each of the following types of tuberculosis with their description. A. Bacilli disseminate to long bones, lymph nodes, and other organs B. Alveolar macrophages phagocytize bacilli and they multiply C. Tubercles drain, patient has a violent cough and green sputum 3. Choose any of the following that apply. If you had not been told that the patient had tuberculosis, which of the following characteristics listed in her medical history give clues as to a potential causative organism? - Positive result of acid-fast bacilli in sputum - Night sweats - Living in a small space in the inner city - Patient age - Use of illegal drugs 4. What is a PPD test? Describe.

          INFECTIOUS DISEASE CASE STUDY 10: Tuberculosis
The patient was an 18-year-old female who presented to the pediatric emergency room with a 1-month history of cough, fever, and night sweats. Her medical history was notable for a positive PPD test when she was younger, for which she was placed on isoniazid. She did not take the medication as directed and had not since seen a doctor. The patient has a more recent history of illegal drug use and identified that she lived in a small apartment in the inner city with 4 other people. A chest x-ray revealed right upper lobe infiltrate and a sputum culture was positive for acid-fast bacilli.

1. What is the scientific name of the etiologic agent of tuberculosis? (Use 2 words, separated by a space, and with the genus name capitalized.
2. Match each of the following types of tuberculosis with their description.
   A. Bacilli disseminate to long bones, lymph nodes, and other organs
   B. Alveolar macrophages phagocytize bacilli and they multiply
   C. Tubercles drain, patient has a violent cough and green sputum
3. Choose any of the following that apply. If you had not been told that the patient had tuberculosis, which of the following characteristics listed in her medical history give clues as to a potential causative organism?
   - Positive result of acid-fast bacilli in sputum
   - Night sweats
   - Living in a small space in the inner city
   - Patient age
   - Use of illegal drugs
4. What is a PPD test? Describe.

Added by Mario J.

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