A 26 year old female presents to the health clinic with a rash on her palms, sol
ID: 164957 • Letter: A
Question
A 26 year old female presents to the health clinic with a rash on her palms, soles and torso. She reports that two months prior to the consultation she had a painless ulcer in her genital area with elevated borders and a depressed center. Material collected from the genital lesion revealed spirochetes. The ulcer healed spontaneously without treatment within a few weeks. The patient also reports having had several sexual partners in the past 6 months and not always using safe sex practices. What is the probable diagnosis of this patient? What microorganism causes this disease? Is a vaccine available to help prevent this disease? Describe one way to prevent this disease? (Not vaccine, if you answered yes above) Which phase of the infection is the patient experiencing? A 65 year old homeless man visits your ER and presents with a cough. He complains of exhaustion, coughing up blood, night sweats, and weight loss. A smear of his sputum shows the presence of acid fast positive rods. What is the likely diagnosis of this patient? What bacteria causes this disease? Did his homelessness contribute to his acquiring this disease? Strong cell mediated immunity leads to the formation of what structure? What are the two key cells for production of this structure? Is antibiotic resistance a concern? A 33 yr old man comes to the clinic complaining about fever, exhaustion, headache, and generalized body pain. You notice a red rash resembling a bulls-eye on his leg as you are examining him. While giving his history, he explains that earlier this month he was on a big hiking and camping trip. What disease do you suspect? What bacteria causes this disease? Describe the shape of the bacteria. How is this disease transmitted? What systems of the body are damaged by this infection?Explanation / Answer
43).
A. Probable diagnosis of the patient according to symptoms is the sexually transmitted disease called syphillis. This disease is transmitted through sexual intercourse with infected person without any protective measure.
B. This disease is caused by spirochaete bacteria, Treponema palladium.
C. Till date there is no vaccine effective for prevention of this disease however research is going on to develop a vaccine for prevention of this infection.
D. Different preventive measures to prevent this disease are;
1. Avoiding multiple sexual partners.
2.Treatment of discovered cases.
3. Protected and safe sex.
E. The patient is experiencing secondary stage of infection. This stage occurs 4 - 10 weeks after primary stage. During this stage secondary lesions appear anywhere on thr body like palms, sole etc.
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