Reference no: EM133932075

Assignment:

Description of Diagnosis:

Fifty-year-old Reggie is a veterinarian visiting from New Mexico.

A few days ago he was scratched on the arm by one of his moribund (morbid) patients. He was not too concerned because the cat had recently been given a rabies booster. (However, the cat exhibited a submandibular abscess(submandibular space infection is a rapidly spreading, bilateral, indurated cellulitis occurring in the suprahyoid soft tissues, the floor of the mouth, and both sublingual and submaxillary spaces without abscess formation. Although not a true abscess, it resembles one clinically and is treated similarly) rectal temperature of 35.0°C (95)(low for animals (average)), and dehydration). When he entered the emergency room at Baystate Hospital he had swollen and tender left axillary lymph nodes that were 5 cm in diameter.

Hospital Admission - On admission, your initial examination of Reggie revealed the following: Temperature 40oC (104), Pulse 80/min, Blood Pressure 80/40 mm Hg, and a pulse rate 48. He was not in acute distress. The remainder of his physical exam was unremarkable, except for the scratch, swelling, and erythema on the arm.

Questions:

1) Identify the syndrome (or type of infection) that is affecting your patient.

2) What are the common infectious microorganisms that cause this type of infection? You should consider bacteria, viruses, and the pathogenic eukaryotes.

3) In this assignment, you need decide what patient samples should be taken to conclusively diagnose the infection. What samples make sense? Blood, urine, feces, CSF? Additionally, you will address the issue of microbiota here.

4) You have collected your patients samples, now what? What tests will you perform? Reflect back on Part I on the microorganisms that you considered. How will you identify them in the clinical microbiology lab?

5) What is the cardiovascular diagnosis? Reflect on your lab results and determine what suspects that it either confirms or rules out in your diagnosis.