Microbiology With Diseases By Taxonomy (6th Edition)
Microbiology With Diseases By Taxonomy (6th Edition)
6th Edition
ISBN: 9780134832302
Author: Robert W. Bauman Ph.D.
Publisher: PEARSON
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Chapter 20, Problem 1CT

A three-year-old boy complains to his day care worker that his head hurts. The worker calls the child’s mother, who arrives 30 minutes later to pick up her son. She is concerned that he is now listless and unresponsive, so she drives straight to the hospital emergency room. Though the medical staff immediately treats the boy with penicillin, he dies—only four hours after initially complaining of a headache. What caused the boy’s death? Were the day care workers or the hospital staff to blame for his death? What steps should be taken to protect the other children at the day care facility?

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The patient was a 13-month old child who, on the day of admission, seemed fine according to his mother except for a runny nose and a low-grade fever (which she treated with Tylenol). Later in the day, while riding in the car with his mother, he suddenly had a grand mal seizure with shaking of the arms and legs. The seizure lasted 2 minutes. She called an ambulance. The emergency medical technicians found him limp, unresponsive, and apparently post ictal (post seizure state). In the emergency room he had a second seizure. On physical examination, he had a temperature of 39.5 ° C, and a pulse of 160 BPM. He was noted to be lethargic, but his neck was supple. Except for a runny nose, the rest of his physical examination was normal. Blood and urine cultures were obtained to rule out sepsis, and the child was begun on IV ceftriaxone (rocephin). His vaccination record is incomplete, but his mother insists that he is up to date on all vaccines. The patient's mental status did not improve…
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