tion lick here to view case study and answer questions. INFECTIOUS DISEASE CASE
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tion lick here to view case study and answer questions. INFECTIOUS DISEASE CASE STUDY 12 On Nov 28, 1987, a 13-year-old boy was seen in the emergency room complaining of penile, buttock, and lower back pain He had no fever, an elevated WBC, and his reflexes and neurological responses were normal He was treated with Tylenol and a muscle relaxant. When symptoms worsened, he was admitted to the hospital with a preliminary diagnosis of pyelonephritis or appendicitis. An exploratory laparotomy and appendectomy proved these incorrect Over the next several days, he became increasingly agitated and combative, complaining of blurred vision and an inability to move his legs. He now exhibited a low-grade fever, high blood pressure and continued WBC elevation. The following diagnostic procedures were performed, but no conclusive aboormalities were found lumbar punctures for CSF analyses, CT scan of head EEG, and MRI As he coatimued to deteriorate, his oral secretions increased markedly, and he developed suboormal body temperature, blood pressure, ventilation rate and heart rate. He became comatose and died on Dec 15, 19 days after the onset of illess. California Morbidity 2, Jan 22, 1988 MMWR 37:305-308 (5/20/88) Updated 1991 Source: Tortora, Gerard, Berdell Funke, and Christina Case Microbiology: An I Introduction. 4h ed. Benjamin/Cummings Pub Co Inc, 1992 Not allowed. This test can only be taken once This test can be saved and resumed laber ts etion tfon Completion Status 1 points Save Andwer QUESTION1 Which of these is the most lakely cause of death in this boy? Cliek Save and Submit to save and eubmit.Ciek Save All Assuers to save allExplanation / Answer
Answer 1: Rabies
Answer 2: Bite of dog or cat or skunks or bats or foxes or cayotes or raccons, hence all the statements are correct ecxept the transmission of rabies by the bite of rat or mice.
Answer 3: Vaccination of domesticated animal like cat and dog is available in U.S. to avoid the transmission of rabies from cat and dog to humans.
Answer 4: There are two treatment options avialable for rabies disease are known as post exposure prophylaxis -
1. Immunoglobulin therapy : in this the immunoglobulin or antibodies against the rabies virus is administered to neutralized the infective agent. It is first administered near the site of bite.
2. Vaccination : In this the vaccine is administered against the rabies virus deelops the protective ability against the pathogen. The four doses of vaccine is administered after immunoglobulin therapy over the next two weeks.
Answer 5: if the above mention treatment fails ie immunoglobulin therapy and vaccination, their no other treatment option avilable for the treatment of rabies.
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