Sprint LTE 8:53 AM docs.google.com Clinical Case Study: 2 Read chapter 12 of you
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Sprint LTE 8:53 AM docs.google.com Clinical Case Study: 2 Read chapter 12 of your book to understand the case and answer all questions to the best of your ability. Ethan, a 26 year old computer programmer regularly takes Waldo hiking inthe Douglas fir forest of the Northwest Today, Ethan is coaxing his dog, Waldo, into his truck. Waldo is very ill, and Ethan is taking him to the veterinary cinic in Bellingham, Washington. get Waldo checked out. Waldo not only has nasal discharge, noisy breathing, coughing and sneezing, but also is losing weight and having difficulty waking. Ethan already had to look all over the property to find Waldo, and by the time Ethan locates Waldo in the bam, carries him to the driveway, and lifts the 60-pound Labrador into the bed of his truck, Ethan has to stop to rest. As a matter of fact, he thinks to himself, he doesn't look much better than Waldo these days! Ethan has been fighting what he thinks is some sort of virus as well. The veterinarian examines Waldo and prescribes fuconazole antibiotic, Ethan, now very tired by this point, takes Waldo home. They both le down to get some rest. Five days later, Ethan's doctor sends him to the hospital. For the past week Ethan has had shortness of breath, fever, chills, headache, night sweats, loss of appetite, nausea, and muscle pain. He has no other symptoms and is treated with amoxicillin antibiotic for a presumed lower respiratory tract infection. Three days later, Ethan's condition deteriorates: his respiratory rate increases, but no other systemic symptoms are apparent. Based on Ethan's respiratory symptoms, his doctor orders a chest x-ray exam. The x-ray film shows that Ethan has a mass in his lungs. Ethan' physician, suspecting that Ethan has a fungal infection, orders a biopsy of the lung mass. The microbiologist reported microscopic appearance of the of the culture shows clear hyphae, and the colonies are slightly larger than bacterial colonies in size and have cottony appearance. Q1. What type of infection could Waldo have? What organs most likely be infected? Q2. Both Ethan and his dog seem to have acquired the same infection. Make a short list of possible pathogens based on this new information. Q3. Do you think the laboratory investigations will be helpful to treat patients? Why?Explanation / Answer
1. What type of infection could Waldo have? Which organ is most likely to be affected?
Its could be a fungal infection as flucanazole in antifingal medicine. Organ most likely to be affected is lower respiratory tract/Lungs.
2.Make short list of possible of pathogens.
Possible pathogens can be Virus, bacteria, Fungus.
3. Do you think laboratory investigation will be useful to treat patients?WHy?
Yes, Laboratory investigation provided a clue for presence of hyphae/fungal infection in the lungs. This could be case of Aspergillosis- fungal pneumonia. Based on this investigation medication can be started to reduce symptoms and fight infection.
4. What factors increase the chances for both to have this infection?
a. Weak immune system
b. Wet climate
c. Presence of spores of fungus in air that may trigger an allergic response
5. What are possible treatment available ? How it can be prevented?
Medication can be provided as:
a. Corticosteroids if its triggered as an allergic response.
b. Oral itraconazole
Prevention:
a. Less exposure/travel to areas with penumonia causing fungal spores.
b. Low Immunosppresive medication dependency of body.
c. Healthy diet for development of strong immune system.
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