Nath Microbiology Respiratory And Urogenital Tract Infections

Front 1

A 14 y/o girl presented with a 2-day history of fever, sore throat, and a red left eye( like sand in it) other kids at summer camp. Lymphadenopathy, erythematous pharynx

Back 1

Adenovirus (pharyngoconjunctival fever)

Front 2

A 21y/o male college student presented with fever, sore throat, severe fatigue, and difficulty in swallowing. Kissing new girl enlarged tonsils with exudates, posterior cervical lymph nodes enlarged, hepatosplenoemegaly

Back 2

Epstein-Barr virus (IM)

Front 3

A 6y/o girl presented with a high fever, an itchy throat, and difficulty swallowing. Pharyngeal erythema w/petechiae on soft palate and patchy grayish-whitish tonsillar exudates. Enlarged lymph nodes. NO COUGH

Back 3

Streptococcus pyogenes (streptococcal pharyngitis)

Front 4

A 9y/o girl presented with low-grade, sore throat, and malaise for 2 days. Emigrated from Ukraine, no immunization status. Stridor, exudative pharyngitis, bull neck. Yellowish, leathery, thick membrane

Back 4

Corynebacteerium diphtheriae (diphtheria)

Front 5

A 7y/o girl presented with fever, headache, earache, and swelling and tenderness at the parotid and submaxillary areas.
Difficult open jaw, only one dose of vaccinations.
Enlarged parotid glands (lymphedema of the neck and upward displacement of ears, redness and swelling near Wharton duct

Back 5

Mumps virus

Front 6

A 10 month boy presented with runny nose, hoarseness, barking cough, and low-grade fever. Visible upper airway narrowing

Back 6

Parainfluenza virus (PIV) or RSV

Front 7

A 2 month old girl with no history of immunization turned blue after a series of coughing spells more than 2 weeks. No vaccination. CxR no pulmonary infiltrates. Paroxysmal cough, whoop, and post-tussive vomiting

Back 7

Bordetella pertussis (pertussis)

Front 8

A 64y/o man with COPD presented with low-grade fever, productive cough of yellow-green sputum, and worsening SOB.

Back 8

Haemophilus influenzae (acute exacerbation of chronic bronchitis[AECB])

Front 9

A 67y/o man presented with abrupt onset of shaking chills, high fever, chest pain, and a productive cough(rust-colored sputum). Diabetic, 40 pack yr, no vaccinations for 20yrs. Dullness to percussion over right upper thorax

Back 9

Streptococcus pneumoniae (pneumococcal pneumonia)

Front 10

A 66 y/o homeless alcoholic man presented with a cough, fever, night sweats, and chest pain. Homeless, 2quarts of volka a day. Blood-tinged (currant jelly) sputum. Right upper lobe infiltrate with cavitary lesion

Back 10

Klebsiella pneumoniae (bacterial pneumonia)

Front 11

A 21y/o woman developed fever, headache, and a gradually progressive dry cough. Clear sputum.
Brother same illness.
Pharyngeal erythema with minimal cervical adenopathy but no exudates

Back 11

Mycoplasma pneumoniae (primary atypical, or walking pneumonia)

Front 12

A 41 y/o man was admitted with a 3-day history of high fever and dry cough.
Headaches, muscle aches, and confusion. 15 packyear,
whirlpools and spas.
Inspiratory rales and scanty, clear sputum.
CxR bilateral lower lobe patchy (interstitial) infiltrates

Back 12

Legionella pneumophila (legionellosis)

Front 13

In december, A 71y/o man from nursing home developed fever, chills, muscle aches, cough, and prostration. Acute respiratory distress

Back 13

Influenza

Front 14

In February, A 5-month-old girl was brought to the clinic with a 2-day history of cough and respiratory difficulty w/nasal discharge. Daycare. Inspiratory wheezes, hyperinflation of chest, atelectasis. CxR peribronchiolar infiltrates

Back 14

Respiratory syncytial virus (RSV) (bronchiolitis)

Front 15

A 32 y/o woman presented with a cough, night sweats, and a 15lb weight loss. Coughing blood-tinged sputum.
Emigrated from Venezuela.
CxR right upper lobe infiltrates

Back 15

Mycobacterium tuberculosis (post-primary tuberculosis)

Front 16

A 29y/o woman developed fever, chills, and bloody cough after chemotherapy for leukemia. Bilateral rales.
Leukopenia, thrombocytopenia.
CxR wedge-shaped lesion in the left lung and right middle lobe infiltrate.
CT halo sign w/ground glass

Back 16

Aspergillus fumigatus (invasive pulmonary aspergillosis)

Front 17

Five workers between the ages of 29 and 48 presented with a 1-week history of fever, chills, night sweats, cough, and weight loss.
Demolition building. Ohio River. Pigeon dropping.
CxR enlarged hilar and mediastinal nodes and multiple nodular infiltrates

Back 17

Histoplasma capsulatum (histoplasmosis)

Front 18

A 38 y/o man presented with a 2-week history of fever, productive cough, right-sided pleuritic chest pain, a 12lb weight loss, and a painful lesion on his left arm. Tennessee. Landscaper.
Treated before cefuroxime not improved.
Verrucous skin lesion on Left arm tender and erythematous.
CxR multiple nodular lesion

Back 18

Blastomyces dermatitidis (blastomycosis)

Front 19

A 35 y/o man was admitted with a 3-week history of fever, night sweats, headache, joint pains, and dry cough. Lost 16lb.
Phoenix, Az.
Erythema nodosum on back. Rales.
CxR infiltrates in both lungs fields with a large cavity in right upper lobe

Back 19

Coccidioides immitis (coccidioidomycosis)

Front 20

A 44y/o man presented with a 3-month history of intermittent fever, chills, and a cough productive of green sputum.
Weakness, weight loss, chest pain, SOB.
Antibiotics no help. COPD. Steroids 6 months.
CxR extensive nodular infiltrates in right middle and upper lobes and cavitary disease

Back 20

Nocardia asteroides (nocardiosis)

Front 21

A 20y/o man presented with a 3-week history of moderate fever, cough, SOB, weight loss, anorexia. Draining lesion Lchest wall.
Emigrated from Pakistan.
Severe periodontal disease. Productive cough w/ foul-smelling sputum.
Sinus tracts from chest wall with draignage containing yellow granules.
CxR left lung infiltrates with upper lobe cavity

Back 21

Actinomyces israelii (thoracic actinomycosis)

Front 22

A 23y/o man with AIDS was admitted for fever, nonproductive cough, and progressive SOB. HIV + Cd4 80/uL. Thrush. CxR bilateral air-space consolidation with interstital and alveolar markings

Back 22

Pneumocystis jiroveci (pneumocystis pneumonia)

Front 23

An 18y/o woman with cystic fibrosis presented with a worsening chronic cough productive of greenish sputum bilateral rales and wheezing.
CxR small heart, hyperinflated lung fields, and patchy bilateral infiltrates

Back 23

Psudomonas aeruginosa (pneumonia)

Front 24

A 62y/o man was admitted with fever, SOB, productive cough, and chest pain. He also complained of thick, yellowish discharged in his eyes. Chain smoker.
10days ago, sudden onset of fever, chills, sore throat, and arthralgias. Decreased breath sounds and rales. erythematous palpebral conjunctiva. purulent exudate.
CxR alveolar infiltrate in the posterior segment of the left lower lobe

Back 24

Straphylococcus aureus (secondary bacterial pneumonia and concurrent acute conjunctivitis)

Front 25

A 30y/o woman was brought to ER for 2week history severe headache, nausea, vomiting, and seizures. HIV + and not taking meds correctly. MRI revealed ring-enhancing lesions in the left parietal lobe and right frontal lobe

Back 25

Toxoplasma gondii (Toxoplasma encephalitis)

Front 26

A 36y/o man with Acute myelogenous leukemia 6 months before was brought to the hospital for high fever, dry cough, and worsening SOB for a week. Allogeneic bone marrow transplant 6week before. CxR bilateral interstitial infiltrates

Back 26

Cytomegalovirus (CMV pneumonitis)

Front 27

A 24y/o sexually active woman had a 1-day history of urgency and burning pain on urination. Suprapubic tenderness

Back 27

Escherichia coli (uncomplicated UTI or cystitis)

Front 28

A 31y/o woman presented with low-grade fever malaise, and rash. She had a history of painless ulcers on the vulva. 4 sex partners. Inguinal lymphadenopaty, rash on palms and soles, pustular cutaneous lesion. Condylomata lata on face.

Back 28

Treponema pallidum (secondary syphilis)

Front 29

A 26y/o man was concerned about the painful, itcy sores on the shaft of the penis. Low-grade fever, malaise, mild headache. Vesicular lesions on penile shaft. Inguinal lymphadenopathy

Back 29

Herpes simplex virus (HSV) type 2 (genital herpes)

Front 30

A 23y/o woman presented with a few small, raised lesions on the cervix but was otherwise asymptomatic. Sex at 15, many partners. Lesion on cervix

Back 30

HPV

Front 31

An 18y/o sexually active man presented with a 48hr history of painful urination and a yellowish penile discharge. Many sex partners. Purulent urethral discharge

Back 31

Neisseria gonorrhoeae (gonorrhea)

Front 32

A 27y/o woman presented with lower abdominal pain, vaginal discharge, and dysuria for 1 week.
Fever and chills last 2 days. 4 sex partners.
Redden cervical os. Adnexal tenderness, and cervical motion tenderness.

Back 32

Chlamydia trachomatis (and anaerobes)

Front 33

A 26y/o woman came to a clinic complaining of profuse yellow, foamy vaginal discharge with foul odor. Many sex partners. Diffuse macular erythematous lesion of the cervix (strawberry cervix)

Back 33

Trichomonas vaginalis (trichomoniasis)

Front 34

A 21y/o woman complained of bothersome vulvar itching and thick, whitish vaginal discharge. Completed antibiotics for sinus infection. Vulvar erythema. Thick whitish discharge

Back 34

Candida albicans (vulvovaginal candidiasis)

Front 35

A 27y/o man presented with a fever, headache, sore throat, malaise, and a rash. Cervical and axillary lymphadenopathy. Diffuse maculopapular rash.

Back 35

Human immunodeficiency virus type 1 (HIV-1)