The most common clinical presentation of invasive pneumococcal disease among children 2 years of age and younger is: O Bacteremia O Meningitis O Otitis media O Tonsillitis
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Clinical Applications: 1. A 1-year-old infant was lethargic and had a fever when admitted to the hospital. He had multiple brain abscesses with gram-negative coccobacilli. Identify the disease, etiology, and treatment. 2. A 40-year-old bird handler was admitted to the hospital with soreness over his upper jaw, progressive vision loss, and bladder dysfunction. He had been well 2 months earlier. Within weeks, he lost reflexes in his lower extremities and subsequently died. Examination of CSF showed lymphocytes. What etiology do you suspect? What further information do you need? 3. A normal baby gained weight appropriately for 12 weeks. Then she stopped feeding. Her right eardrum was inflamed, she had a stiff neck, and her temperature was 40°C. Examination of CSF revealed gram-negative coccobacilli. Identify the disease and treatment.
Adi S.
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