A Gram stain and culture of spinal fluid were negative. On June 21st, the patient had an acute change in his neurologic status, including twitching of the left foot, more marked nystagmus, and slightly asymmetric pupils. Based on the results of the CSF analysis, the working diagnosis was changed to meningoencephalitis, and an infectious disease consultation was sought.
The CSF was further analyzed for Borrelia burgdoferi and the following viruses: Louis encephalitis, California Group, Eastern equine encephalitis, Western equine encephalitis, measles, mumps, herpes simplex virus 1 and 2, enteroviruses, varicella-zoster, cytomegalovirus, lymphocytic choriomeningitis virus, adenovirus, and influenza. All tests were negative. Antiviral treatment with acyclovir was begun anyway. What is the most likely causative agent? What was the likelihood of the patient recovering if the right diagnosis had been made early?
How did the man most likely contract this disease? How could this infection be confirmed? The test MUST confirm this and no other infection.
From the raccoon who staggered into the campsite? Wow, a very complicated and complex case study! To be honest, I have no idea. I am yet to take micro.
I would expect this kind of homework for medical students! I am guessing the way he may contracted the disease was when he struggled to take the salmon off the hook. Quote from jennmv Rabies? Key points to me: Could be GBS caused by previously resolved campylobacter jejuni infection?
The negative CSF and MRI together with the afebrile presentation, to me, could point to an infection local to another part of the body, where the neurological symptoms would be caused by toxins, not primary infection of the meninges. Unlikely to be rabies, completely different set of symptoms. Also unlikely to be N. What a hard case! Please post the answer when you find out. CA, US ; Joined: She does not have any associated fevers and does not feel that her rescue inhalers help much.
She was given a course of doxycycline for 10 days, and sputum was sent for culture. The genus Pasteurella consists of multiple identified species with the one most commonly seen in the clinical setting as Pasteurella multocida. As a genus, they are typically gram-negative straight bacilli that are nonmotile, oxidase-positive, catalase-positive, nitrate reducing, and ferment glucose. They will grow on blood and on chocolate agars, but importantly will not grow on MacConkey.
Their colony morphology on blood agar is generally convex, smooth, and nonhemolytic. Infections with Pasteurella are classically associated with animal bites, such as from a dog or cat. However, prior cases in the literature have shown that pulmonary infection with Pasteurella can be associated with other chronic pulmonary diseases such as COPD 1.
The choice for using doxycycline is supported in the literature and was specifically discussed in a prior case with improvement 2. You are commenting using your WordPress. You are commenting using your Twitter account. You are commenting using your Facebook account. Notify me of new comments via email.
I'm taking microbiology and I've been doing really well so far, but we have our first case study and I'm completely stumped. It's a long one, but I've included it .
Jan 02, · Below is a case study that I am currently stuck on. The book being used is "Microbiology, an Introduction, Tortora 9th edtion" A 7 year old girl is brought in to the doctor’s office by her mother.
Learn case studies microbiology with free interactive flashcards. Choose from different sets of case studies microbiology flashcards on Quizlet. May 14, · A female, 60 year- old type I diabetic on insulin for many years, is brought to the emergency department where you are working triage. She has an extremely swollen right lower leg. You see what appears to be an old surgical wound in the mid-calf, with rough scar tissue surrounded by purpish-red skin. She is in a lot of pain and her Status: Resolved.
Microbiology case study help. Storyboard assignment high school! Microbiology case study help September 11, / 0 Comments / in Uncategorized / by. @jordan_hill writing this research paper. karl marx conflict theory essays on the great. how to write a 9 essay ap literature. Microbiology Case Study: A 28 Year Old Female with Cough. Case History. She does not have any associated fevers and does not feel that her rescue inhalers help much. She was given a course of doxycycline for 10 days, and sputum was sent for culture. Laboratory Identification.