Etiology, Clinical Case Studies, Diagnostic Methods, Pharmacological
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Infections, Pediatric Infections, Dermatological Manifestations,
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disease: Chickenpox
etiology: Varicella-zoster virus
vaccine: varicella vaccine
A child comes in with a pustular rash (shown below) that developed on the face, extremities,
and the trunk region. The rash seems to be mostly concentrated on the trunk region. Eventually,
the lesions burst and form a crusty scab. The patient is also experiencing a fever, chills, as well
as tiredness. What is the most likely disease/infection and etiology? Is a vaccine available? If so,
what is it?
disease: syphilis
etiology: Treponema pallidum
treatment: Penicillin G
vaccine: no
, Amanda attends a party at her university and has unprotected sex. She feels tenderness near
her inguinal lymph nodes (region: groin) about 10 days later. She does not worry because she
does not feel pain in this region and she cannot indicate alternate symptoms. The
aforementioned tenderness soon passes. However, Amanda notices tenderness in her inguinal
lymph nodes once again about 14 days later. Amanda wakes up the next morning to intense
abdominal pain and heavy vaginal bleeding. She was rushed to the ER, where a stain of the
exudate revealed the pathogen (see stain below). What is the most likely disease/infection and
etiology? What is one common antimicrobial medication used to treat it? Is a vaccine available?
If so, what is it?
disease: hot tub rash and otitis externa
etiology: Pseudomonas aeruginosa
treatment: polymyxin B and acidic ear drops with antibiotics
Several cases of skin rash infections reported at a hotel in Bangor, Maine. Sample of unknown
pathogen taken from draining ear of 6 year old child and the pool filter (Gram stain shown). 9
patients infected. Had rash for 7 days (or less) or an outer ear infection. All had spent time in
either the pool or hot tub. 7 spent time in both. What is the most likely disease/infection and
etiology? What is one common antimicrobial medication used to treat it?
disease: Trichomoniasis
etiology: Trichomonas vaginalis
treatment: metronidazole
An 18 year old girl presents to her pediatrician with her mother for her pre-college check-up.
She has no past medical history. After her mother leaves the room for the social history
component, the girl admits to having sex with her boyfriend for the first time two weeks ago
and complains of a yellow green malodorous vaginal discharge that started a week ago. She
endorses mild pelvic pain. A pelvic exam is performed and mild cervical tenderness is noted.
The cervix is pink, nulliparous, inflamed and is covered by small red punctate spots. A thin
yellow green frothy discharge of fishy odor is also detected. A wet prep is made and reveals