a. The disease is Rhinoscleroma which is a chronic granulomatous condition which causes deformities of nose another relevant structures of the upper respiratory tract.
b. The disease is caused by a bacteria named Klebsiella rhinoscleromatis.
c. The antibiotics which are used to treat Rhinoscleroma caused by Klebsiella rhinoscleromatis. is Ceftriaxone. which is a third generation cephalosporin. It is highly effective against Klebsiella rhinoscleromatis.
d. FDA has recently developed a vaccine against Kleibsiella.
A 52-year old farmer in Fresno presented to his health care provider with a granulomatous lesion...
One month after starting kindergarten, a six-year old girl became suddenly ill. Her symptoms included a cough, headache, chills, and severe body aches. After two days of a fever as high as 102.5, her parents took her to the family practitioner, where she also complained of chest discomfort. However, she did not have a stuffy nose, and had not been sneezing. a) Identify the disease presented by the patient. b) Identify the causal agent. Be as specific as possible based...
History: 65 year-old male, recent immigrant, presented to the doctors office with fever, coughing and shortness of breath. The patient complained of general malaise, myalgia, and exhaustion. The patient reported feeling “normal” until the day before. He then reported fever, headache and now felt “very sick” with a sore throat. This morning the patient developed hypotension and hypoxia. His daughter said the patient began to complain of generalized muscle pain, headaches, dizziness, vomiting, fatigue and mild diarrhea starting two days...
An 18 year old girl presents to her pediatrician with her mother for her pre- college check-up. She has no past medical history. After her mother leaves the room for the social history component, the girl admits to having sex with her boyfriend for the first time two weeks ago and complains of a yellow green malodorous vaginal discharge that started a week ago. She endorses mild pelvic pain. A pelvic exam is performed and mild cervical tenderness is noted....
A previously healthy 18-year-old woman presented to the emergency department with a two-day history of progressive pain in her left thigh. One day before the onset of her left thigh discomfort, the patient and her mother had an altercation that involved her mother biting her left thigh. At the time of presentation, the patient had an oral temperature of 37.5ºC, a blood pressure of 136/80 mmHg and a heart rate of 106 beats/min. Her left thigh was erythematous (redness of...
A 22-year old male college student was presented at the ESU health clinic. He looked tired and pale. He presented because of high fever and chest pain. He was afraid he was having a heart attack (bad week of exams). He was examined immediately by the PA and an EKG strip was run. He had no evidence of acute heart problems. The attending physician visited the patient. He obtained the following history from the past 36 hours. The patient had...
A 22-year old male college student was presented at the ESU health clinic. He looked tired and pale. He presented because of high fever and chest pain. He was afraid he was having a heart attack (bad week of exams). He was examined immediately by the PA and an EKG strip was run. He had no evidence of acute heart problems. The attending physician visited the patient. He obtained the following history from the past 36 hours. The patient had...
A 31 year old male presented to the Emergency Department (ED) after experiencing gross hemoptysis. He had a 2 month history of productive cough, a 25 pound weight loss, night sweats, and fatigue. A chest X-ray (CXR) revealed bilateral cavitary infiltrates. The patient had a history of heavy alcohol and drug use with a long history of cigarette use and a chronic smoker's cough. The patient reports no permanent residence. The patient was admitted and tested for bacterial pneumonia. Routine...
A 75- year old man, Patrick R., Presented to the emergency room with fever, shortness of breath, chest pain, and severe, extremely productive cough. Patrick had been a heavy smoker for almost 50 years before he quit 7 years ago, when he was diagnosed with emphysema. Patrick occasionally used oxygen at home when he had difficulty breathing, and on presentation he was using portable oxygen because of his severe respiratory distress. A chest x-ray revealed a right lower lobe infiltrate,...
CASE F: A 71-year-old Chinese male was admitted with complaint of chronic cough and malaise for two months. He had been in Tucson, Arizona, USA, visiting for four months right before the sym sweats, skin rashes, or headache. His past medical history included four years of primary hypertension and three years of coronary heart disease. He did not smoke or abuse drugs. Physical examination revealed no abnormalities. Chest computed tomographic ptoms occurred. He had transient low-grade fever, but denied hemoptysis,...
Case Study
#1
CHIEF
COMPLAINT: Cough and fever for four days
HISTORY: Mr. Alcot is
a 68 year old man who developed a harsh, productive cough four days
prior to being seen by a physician. The sputum is thick and
yellow. He developed a fever, shaking, chills and
malaise along with the cough. One day ago he developed pain in his
right chest that intensifies with inspiration. He lost 15 lbs. over
the past few months but claims he did not...