Diseases in Focus Chapter 21 - Male, age 9. MEDICAL HISTORY (Hx) The patient is

Question

Diseases in Focus Chapter 21 - Male, age 9.

MEDICAL HISTORY (Hx)

The patient is a male, age 9. He is from Reno, Nevada. He was admitted to the clinic with a deep, red, swollen abscess on the nape of his neck. The patient is a student at a local grade school. He is also in a scout troop that meets most weekends and after school. The patient's dad is a highschool teacher, and his mother is an engineer. The family has a history of heart disease (paternal) and diabetes (maternal). The boy owns a pet boa constrictor and a gopher snake. Ten days ago, he went on a four-day backpacking trip with his scout troop. On the second morning of the trip, he noticed a "spider bite" on his neck. Two of the other children on the trip had similar bites on their arms and face, respectively. The troop-leader applied a topical antibiotic ointment to the bites and administered each child an adhesive bandage. The next day, the boy noticed that the bandage had fallen off at some point during the morning hike. When the trip ended, two days later, the boy's parents noticed that the bite appeared red and somewhat swollen. Concerned, the boy's father swabbed the bite with alcohol and ointment and applied an adhesive bandage. The next day, the bite still appeared raised and inflamed. After a few days, it began to feel hard and hot to the touch, and the patient often complained of tiredness and headaches. He was febrile upon admission to the clinic. The abscess on his neck is roughly 2 inches in diameter, with a yellowish center and weeping, crusted tips.

Part B - Review possible diagnoses.

Now that you have considered the evidence at hand, you should start to build a hypothesis about what disease your patient has. In the beginning of your diagnostic process you should try to think broadly and consider any and all reasonable possibilities. You can then narrow down these possibilities by performing diagnostics that can support or refute your hypothesis.

Select all conditions that could reasonably apply to your patient.

measles, rubella fifth disease, roseola candidiasis staphylococcal skin infection (folliculitis, impetigo, scalded skin syndrome, toxic shock syndrome) smallpox, monkeypox chickenpox, shingles herpes simplex streptococcal skin infection (necrotizing fasciitis, erysipelas) Pseudomonas dermatitis, otitis externa acne Buruli ulcer warts ringworm sporotrichosis scabies pediculosis Diseases in Focus Chapter 21 Male, age 9 MEDICAL HISTORY (Hx) The patient is a male, age 9. He is from Reno Nevada. He was admitted to the clinic with a deep ed, swollen abscess on the nape of his neck. The patient is a student at a local grade school. He is also in a scout troop that meets most weekends and after school. The patient's dad is a highschool teacher, and his mother is an engineer. The family has a history of heart disease (paternal) and diabetes (maternal). The boy owns a pet boa constrictor and a gopher snake. Ten days ago, he went on a four-day backpacking trip with his scout troop. On the second morning of the trip, he noticed a "spider bite" on his neck. Two of the other children on the trip had similar bites on their arms and face, respectively. The troop-leader applied a topical antibiotic ointment to the bites and administered each child an adhesive bandage. The next day, the boy noticed that the bandage had fallen off at some point during the morning hike When the trip ended, two days later, the boy's parents noticed that the bite appeared red and somewhat swollen. Concerned, the boys father swabbed the bite with alcohol and ointment and applied an adhesive bandage. The next day, the bite still appeared raised and inflamed. After a few days, it began to feel hard and hot to the touch and the patient often complained of tiredness and headaches. He was febrile upon admission to the clinic. The abscess on his neck is roughly 2 inches in diameter, with a yellowish center and weeping crusted tips Access "Diseases in Focus" Tables 21.1. 21.2, and 21.3 Part B Review possible diagnoses. Now that you have considered the evidence at hand, you should start to build a hypothesis about what disease your patient has n the beginning of your diagnostic process you should try to think broadly and consider any and all reasonable possibilities. You can then narrow down these possibilities by performing diagnostics that can support or refute your hypothesis Select a conditions that could reasonably apply to your patient measles, rubella O fifth disease, roseola candidiasis staphylococcal skin infection (folliculitis, impetigo, scalded skin syndrome, toxic shock syndrome smallpox, monkeypox chickenpox, shingles herpes simplex O streptococcal skin infection (necrotizing fasciitis, erysipelas) Pseudomonas dermatitis, otitis externa aCne Buruli ulcer warts ringworm sporotrichosis scabies pediculosis

Explanation / Answer

From the case study, it can be hypothesized that the patient has either of Buruli ulcer, staphylococcal skin infection (folliculitis, impetigo, scalded skin syndrome, toxic shock syndrome) or Fifth disease (Roseola) due to the following reasons:

Staphylococcal skin infection (folliculitis, impetigo, scalded skin syndrome, toxic shock syndrome):

More specifically impetigo. It occurs in exposed areas such as hand, face and neck. It is accompanied by red sore which pop up easily and leave a yellow crust and is highly contagious. It is caused by insect and animal bites.

Streptococcal skin infection (necrotizing fasciitis, erysipelas):

It is mainly caused by Staphylococcus aureus. The infection may lead to staphylococcal scaled syndrome. This infection destroys the tissue in your skin and muscles. This infection can be life-threatening. Weakness, fever with chills and sweating, nausea, vomiting,dizziness are common symptoms. Skin lesions is common symptom.

Acne:

Cystic lesions which are painful and scars are most common symptoms in acne.

Most likely, the boy has staphylaococcal skin infection, more specifically Impetigo since the symptoms of impetigo and the symptoms with which the boy was admitted are same, that is sign of insect bite, swollen abscess on the neck, red abscess with yellowish center and weeping crusted tips. The disease is caused by Streptococcus pyogenes and Staphylococcus aureus.

The diagnosis can be confirmed by culturing the bacteria in the laboratory and to identifying the actual strain for the infection.

Related Questions

Navigate

• Browse (All)
• Browse D
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.