Pod: Infectious Disease: Cases

Front 1

A malnurished boy comes into the office having flu-like symptoms. When you examine his mouth, you find Koplik spots on buccal mucosa. X-ray suggest giant cell pneumonia. MRI showed brain swelling. What does the kid has?
What could have prevented him from developing post-infection encephalitis?
What can you use to treat him?

Back 1

Measles.
Vitamine A
Irbavirin and antibiotics

Front 2

What organism causes parotitis? what other symptoms might this organism cause?
What test can you run to diagnose?

Back 2

Mumps.
Orchitis in men, Oophoris and mastitis in women.
viral isolation from throat, saliva, CSF. ELISA: 4X higher IgG count.

Front 3

When do you give the MMR vaccine?

Back 3

12-16 months.

Front 4

You found posteria cervical, occipital lymph node swelling in an adult women who is complaining about arthritis in her wrists,finger and knee. She also has fever and a rash. What most likely does she has?

Back 4

Rubella.
enter synovial fluid, urine, CSF.

Front 5

What is special about parvovirus' genome?

Back 5

liner, ssDNA, palindromic. 3' hairpin serves as the primer.

Front 6

Why is parvovirus so contagious?

Back 6

reist pH, solvents, and heat.

Front 7

Patient develops fever, rash, joint sorenessin hands, wrists, and knees. Lab test shows giant pronpormoblasts in bone marrow. What does this patient have?
What people are resistant to this disease?
How is this disease transmitted?

Back 7

5th disease. (Parvovirus)
People lack P antigen.
Transmit: droplet, transplacental, blood.

Front 8

Why do you need to worry about people with sickle cell disease that contract parvovirus?

Back 8

They are more likely to develop aplastic anemia.

Front 9

A 3 year old boy develops a low grade fever, lyphamdenopathy in posterior cervial and occipital nodes, and a rash. Lab tests show that he had thrombocytopenia and encephalitis. What's the cause of his illness?

Back 9

Rubella

Front 10

A 30 year old man got an organ transplant 2 wks ago. Now he develops fever, leukopenia, thromocytopenia, and retinitis. What's the most likely cause of his illness?
What can you give to treat him?

Back 10

CMV
Gancyclovir

Front 11

A 20 year old guy develops mild flu-like sypmtoms. Lab result show atypical lymphocytosis similar to Epsterin Barr. You suspect he has ___. And he probably contracted this disease _____(when).

Back 11

CMV
postnatally

Front 12

What two congenital viral infection may cause hearing loss?

Back 12

rubella
CMV

Front 13

A 18 year old boy had an abrupt onset of fever, headache, cervial lymphadenopathy, and hepatospleenomegaly. You could see a grayish membrane formation in the throat and enlarged tonsils. The peripheral blood smear shows atypical lymphotyes. Heterophil results came back positive. What does he have? What can you use to treat him?

Back 13

Epstein Barr virus
acyclovir

Front 14

This virus cause roseola rash, abrupt raise and drop in temp. Otherwise, patients appear normal. And babies under 6 month old usually protected fron it. What is it?

Back 14

Human herpes virus 6.

Front 15

Why do doctors tell people to avoid sports while infected with Epstein-Barr virus?

Back 15

Risk of spleen rupture.

Front 16

A guy just came back from south america and developed jaundice, melena, and epistaxis. What does he have and how did he get it? Is there a vaccine for it?

Back 16

Yellow fever from mosquito bite.
Yes. Live attenuated for age>9 month.

Front 17

A women went hiking in texas and a week later she develops a rash, retro-ocular pain, photophobia, and muscle pain. What does she have?

Back 17

Dengue fever

Front 18

A lady in texas who lovehiking just came back from a trip to the Caribbeans. four days later, she came into the hospital with fever, severe hypotension,and leaky capillary. You performed a tourniquet test and observed spots distal to it. What does the lady have?

Back 18

Dengue hemorragic fever.

Front 19

An Ohio resident came into the hospital with polio-like symptoms, progressive neck stiffness, disorientation, and convulsion. CSF reveals high leukocytes with normal glucose and protein. What caused his illness?

Back 19

West Nile virus.

Front 20

A student suffers from intermittent fever, headache. Days later, doctors see yellow sclera and severe spleenomegaly. CBC shows low hematocrit. History shows he just returned from India and blood smear shows a ring shape. What does he have?
What can you use to treat him.

Back 20

malaria.
mefloquine

Front 21

A 10 year old boy in Virginia presents with a rash began on his palm and soles and has now spread to his trunk. Physician also noted conjunctival redness and proteinuria. The boy said he hiked in the woods a week ago. What can you use to treat him? What might have caused his illness?

Back 21

tetracyclin
tick bite from a dog.

Front 22

A guy has a rash that spreads outward avoiding palms and soles. Doctors discovers lice in his hair? What disease does he have?

Back 22

Typhus

Front 23

A young boy present a flu-like symptoms without a rash. CBC shows leukopenia and thromocytopenia, high liver enzymes. If left untreated, it may develop renal failure, DIC, meningoencephalitis. What does the boy have?(be specific)

Back 23

Ehrlichiosis (HGA)

Front 24

A man comes to the doctor with a high fever. He told the doctor that he has had 2 fevers in the past 3 weeks. On history, he reports no mosquito bites. Blood smear shows spirochetes. What's the disease? What is causing the cyclic pattern of the fever?

Back 24

Replapsing fever.
antigenic variation of VMP

Front 25

What is the cause of the #1 vector born disease in the US?

Back 25

Lyme disease

Front 26

A 22 year old guy went to New England and got bit by a tick. He discovered an annular rash on his leg and had flu-like symptoms. A week later, he developed one sided droopy face and went to the doctor's office. Skin biopsy shows spirochetes. What does the guy have?

Back 26

Lyme disease

Front 27

A mexican man complains to his doctor about worsening constipation and stomache pains. Doctor finds an enlarged heart and moderate arrythmia on auscultation. X-ray showed megacolon. What happened to the man that can explain his illness? What is the organism? What drug can you use to treat him?

Back 27

Bitten by a Reduviid bug.
Trypanosome cruzi
none (chronic stage)

Front 28

A mexican man present rash and emdema around his eyes, fever, and chills. Doctor finds chagoma on his skin, and heart problems. What can be used to treat this patient?

Back 28

Nifurtimox

Front 29

A guy went to Africa, came back with a winterbottom's sign, slightly enlarged liver and spleen, pruritis, some neurological deficiency. Tests show elevated IgM. What does he have? What bug is involved?

Back 29

African sleeping sickness.
TseTse fly
High IgM because of antigenic variation of VAP.

Front 30

After a trip to Iran, a man develops flu like symptom,ulcer and hyperpigmented skin? What disease first comes to your mind?

Back 30

Leishmaniasis. Sandy flies

Front 31

An African man comes to hospital after vomiting blood. His stools has been dark for the last few years. He states that fishing is a hobby. Endoscopy shows esophageal varices and stool contain eggs. What should be used to treat the patient?

Back 31

Praziquantel (Schistosomiasis)