CASE STUDIES CHAPTERS 36-46 TESTED QUESTIONS WITH REVISED CORRECT ANSWERS A+ VERIFIED
Orientia: Treat with doxycycline - correct answers-In Thailand,
... [Show More] a 24-year old male, working as a rodent exterminator, was admitted to the hospital with a rapid onset of fever. Three days prior admittance, the patient experienced severe headaches and myalgia. One week after the hospital visit, the patient developed a rash in the center of his chest, progressing outward toward his extremities. Upon a second visit to the hospital, treatment with penicillin began, but after three days, the patient was nonresponsive and symptoms worsened. His fever was the only symptom that dissipated.
Brucella: Treat with doxycycline plus rifampin or gentamicin; Secondary treatment with trimethoprimsulfamethoxazole - correct answers-A 51-year old farmer was admitted to the hospital after experiencing malaise, undulating fever, and headaches. He complained of joint pain and general fatigue. Symptoms started after he had helped birth a calf a few days prior. After two weeks of antibiotic treatment the patient's symptoms were resolved.
Ehrlichia chaffeensis: Treat with doxycycline: secondary treatment with rifampin - correct answers-A 52-year-old avid outdoorsman has had multiple tick bites throughout his adult life. He experienced nonspecific malaise and fatigue for about one month. There were no fevers, chills, sweats, or weight loss. He was witnessed to have a generalized seizure and a marked decrease in mental status and was admitted into the hospital for thorough evaluation. Due to sepsis-like presentation and clinical picture, he was treated empirically with broad-spectrum antibiotics, including vancomycin and doxycycline. Serum creatinine, blood urea nitrogen (BUN) levels, and hepatic enzymes were extremely high as a result of the patient's acute renal and liver failure respectively. As his illness progressed, pulmonary function diminished and mechanical ventilation was required, as was hemodialysis. Multiple serology tests revealed that the patient was negative for Rickettsia, Borrelia (Lyme disease), histoplasmosis, West Nile virus, and viral hepatitis.
Bacteroides fragilis: Treat with metronidazole - correct answers-A 3 year old Caucasian female was admitted to the hospital, with symptoms of vomiting, nausea, and diarrhea. She had trouble sleeping for a couple of days, and her parents gave her medicine for her stomach aches. She wasn't getting any better, and there was blood found in her stool. The family recently came back from a visit to Cuba, where she was exposed to improperly prepared foods. She had an elevated leukocyte count, and they found gram-negative rods in the blood culture.
Chlamydophila psittaci: Treat with macrolides: Secondary treatment with tetracyclines - correct answers-A 48-year-old man presented to the emergency department (ED) with acute onset of severe dyspnea and productive cough for 12 hours; diffuse, pleuritic chest pain with deep inspiration; mild headache; sore throat; and subjective fever and chills. The patient's past medical history was significant for a positive tuberculin skin test 20 years prior to admission. At the time, he received isoniazid for 2 months, which was discontinued due to nonspecific gastrointestinal symptoms. He had no history of coronary artery disease, chronic obstructive pulmonary disease, or asthma [Show Less]
