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 25, Problem 1CCS

A man arrived at an emergency room with neurological disorders: uncontrolled facial twitching, anxiety, and feelings of fear. He also had a sore throat and difficulty in swallowing and complained of itching over his entire body. He remained alive for several days but became increasingly agitated and refused to drink because of the pain involved in swallowing. He vomited repeatedly, and his temperature rose to 106° F. He died one week after being admitted to the hospital.

An autopsy revealed dark-staining bodies in the cells of his brain and a raised antibody titer in his blood. There were no obvious bites or scratches on his skin, though interviews with friends and family indicated that a bat had landed on the man’s face about a month before he was admitted to the hospital.

  1. 1. What did the man suffer from?
  2. 2. What were the antibodies against?
  3. 3. What were the dark-staining bodies in his brain cells?
  4. 4. What preventive measures might health care providers have used to save the man's life?
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A 7 years old Italian-born female fell, unconscious, but recovered quickly.  This was followed by a week of vomiting.  One month later she developed headaches, intermittent drowsiness, and convulsions.  She presented to an Emergency Room, where physical examination showed neck stiffness, hyperactive knee jerks, a positive Kernig sign and a Babinski reflex.  The patient went into a deep coma with occasional involuntary motions.  She died two days later.  At autopsy, a 250 gram, 5 by 10 cm white-walled cyst (arrow) bulged out of the cerebrum... a.    Define Kernig sign b.    Define Babinsky reflex c.    In what organs are these cysts usually found? d.     How was the infection acquired?
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A 56-year-old man complained of progressive fatigue and malaise. His physical examination was generally satisfactory, with a pulse of 90 beats per minute, and multiple lymphadenopathy and hepatomegaly. No bacteria were found in cerebrospinal fluid smears of lumbar puncture, but a flagellum, elongated nucleus with blue and red cytoplasm were found in the blood by Giemsa staining of thin blood smears. The family reported that the patient had been engaged in transportation business in Africa for many years. 1. What do you think is the most likely disease for this patient? Malaria Dengue fever African sleeping disease Toxoplasma encephalitis Bacterial meningitis 2. What do you think is the most likely pathogen for this patient? Plasmodium vivax Toxoplasma gondii Plasmodium falciparum Plasmodium malariae Trypanosoma brucei gambiense 3. What do you think is the most direct basis for the diagnosis of the pathogen? From Africa Fatigue Hepatomegaly Special structure was found on blood…
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