Microbiology and Infectious Diseases

BIOL 230-01: Microbiology and Infectious Diseases Assignment 10: Skin and Eye Infections Case Studies Read each case study below, and provide responses to the questions that follow each study. Case Study 1 Nate, a 69-year-old type 2 diabetic male, awoke in his Naples, Italy, hotel room with a tingling sensation that extended from his spine around to the middle of his rib cage, like a thin, invisible ribbon. The discomfort increased until the next morning, when it became severe pain. Small blisters revealed themselves along an irritated red patch of skin. The hotel concierge referred Nate to the local doctor, where he was examined, diagnosed, and urged to cut his vacation short and return to the United States. 1. Based on his signs and symptoms, with what disease or condition do you think Nate was diagnosed? Explain your reasoning. 2. What is the causative agent of this disease or condition? 3. What do you anticipate the doctor recommended as the treatment plan for Nate? Case Study 2 On a September day in 2009, a young mother from Mudzengerere village, Zimbabwe, carried her small son, Moyo, 2 miles to the Mosomo clinic. When they arrived, Moyo appeared confused and nonresponsive. He had a high fever and even seized once during the examination. The attending physician also noticed that Moyo had a macular rash over much of his body. The clinic doctor had seen many similar cases in children from the same village recently, where a significant number of the affected children had died. 1. Based on his signs and symptoms, with what disease or condition do you think Moyo was diagnosed? Explain your reasoning. 2. What do you think is the causative agent of this disease or condition? 3. What do you anticipate the doctor recommended as the treatment plan for Moyo? 1 Case Study 3 Leili, a 3-year-old female, was brought to the pediatrician by her mother, who was worried about a rash on Leili’s lip. It had started 4 days earlier as a little bump above her lip that spread to the corner of her mouth. The base of the rash was red and covered by pustules. The little girl said that her rash hurt, and the clinician noticed a honey-colored crust on the ruptured pustules. Leili’s mother said that her daughter had not been trying to scratch the rash, nor was the area around it hot to the touch. The doctor gently swabbed a sample from one of Leili’s sores and sent it to the lab, where the causative agent could hopefully be determined. 1. Based on his signs and symptoms, with what disease or condition do you think Leili was diagnosed? Explain your reasoning. 2. What do you think is the causative agent of this disease or condition? 3. What do you anticipate the doctor recommended as the treatment plan for Leili? Case Study 4 James, an 11-year old male, was brought to an immediate care clinic by his father. He had been dealing with a 4-day history of irritation and itching in his eyes, first in the left eye followed by the right eye a day later. Both eyes had a mild yellow discharge and mattering of the eyelids that made it difficult for James to open his eyes first thing in the morning. The physician noted minimal eye redness, no foreign body sensation, flashes of light, floaters, or decreased vision. James indicated to the physician that he was not using any eye drops, and had not experienced any environmental exposures to the eyes. 1. Based on his signs and symptoms, with what disease or condition do you think James was diagnosed? Explain your reasoning. 2. What do you think is the causative agent of this disease or condition? 3. What do you anticipate the doctor recommended as the treatment plan for James? 2

Microbiology and Infectious Diseases

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