Test Information Description Instructions INFECTIOUS DISEASE CASE STUDY 21 Mary
ID: 216440 • Letter: T
Question
Test Information Description Instructions INFECTIOUS DISEASE CASE STUDY 21 Mary Jane, age 78, has recently moved in with her daughter and her two granddaughters, ages 2 and 5. She complained to her daughter for about a week of a sharp, stabbing pain localized in her right back and side just below the ribs. When she visited her doctor, he diagnosed a pulled muscle and ordered bed rest and muscle relaxant. Within one week Mary Jane had broken out with a line of vesicles extending from her back around her trunk toward the front. In about two weeks, the lesions encrusted and eventually healed. The pain, however, persisted for several months later Two weeks after Mary Jane broke out in vesicles, her 2-year-old granddaughter. Britany, developed similar vesicles. These lesions developed gradually, but appeared over her face, throat, back, chest, and thighs. After three to four days, the vesicles filled with pus, ruptured, and formed scabs. Healing was not complete for about two weeks. Britany did not experience pain but the lesions were accompanied by severe itching. Laboratory Diagnosis Laboratory diagnostic procedures are rarely employed in these infections because of its easily-recognized clinical manifestation. For confirmation, microscopic examination of lesion scrapings may show multinucleated giant cells. Specific antigens may also be seen in exfoliated cells by immunofluorescent antibody staining Multiple Not allowed. This test can only be taken once. Attempts ForceThis test can be saved and resumed later. CompletionExplanation / Answer
1- chicken pox
2- shingles
3-the lesion commonly occur in face and upper back of chest
4-both are by herpes virus viarcella zoster
Britney infection is likely exposure to her grandmother during her infection
Note - the varicella zoster virus causes chicken pox in children and on reactivation of virus in old age causes shingles.
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