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est Information escription structions INFECTIOUS DISEASE CASE STUDY 20: HIV Infe

ID: 213719 • Letter: E

Question

est Information escription structions INFECTIOUS DISEASE CASE STUDY 20: HIV Infection Sherrie is a twenty-year-old sophomore at the University of Kentucky. Though generally healthy, she has recently been concerned about feeling very fatigued and an ll" feeling, like she is coming down with something but doesn't get sick. At first, she figured it was a matter of too much late-night "partying." Since she can't seem to shake it and it seems somewhat "feverish." especially at night, she has decided to see a doctor at the UK Medical Center. In addition to these symptoms, she has a recurring yeast infection (vaginitis) that she has tried to control with over-the-counter medication Upon hearing her complaints, you (her physician) perform a brief physical exam and notice no evidence of respiratory and cardiac abnormalities. Upoa palpation, you detect some swelling of the cervical and axillary lymph nodes. You obtain a vaginal smear for culturing and order diagnostic blood work including a differential white blood cell count, an ELISA HIV test and a confirmative Westem Blot analysis. Not allowed. This test can only be taken once. Multiple Attempts Force This test can be saved and resumed later

Explanation / Answer

Question 4.

Insect bites do not transmitted hiv as the virus can not replicate within the gut of the mosquito. Also, hiv is not transmitted through saliva. Rather, if there is a bleeding gum or blood on the lips of the partner that would result in entry of the infected blood in the blood stream of a non infected person, it could cause transmission.

Question 2.

Question 3.

Phase 1: population of hiv in the blood peaks ; CD4 T cell counts are below 200 cells per microliter.

Phase 2: symptomatic: chronic lymphadenopathy ; persistent infections by the yeast,

Phase 3: AIDS: Candida albicans infections ..... Kaposi’s sarcoma