A 47-year old immunocompromised male visited the emergency r…
A 47-year old immunocompromised male visited the emergency room for a two-week history of persistent violent cough, chest pain, night sweats, fever, bloody sputum, weight loss, and loss of appetite. A sputum sample revealed the presence of acid-fast rod-shaped bacteria; the bacteria were also weakly gram-positive. A chest X-ray showed infiltrate in the middle left lung with tubercles present. The patient was placed on directly observed therapy (DOTS) for 6 months. A. Name the bacterium (genus and species) responsible for this patient’s condition. B. What disease and stage of illness does this patient have? C. Explain each clue provided in the narrative.
Read DetailsA 28-year-old male presented to the dermatologist with a chr…
A 28-year-old male presented to the dermatologist with a chronic rash that involved the upper arms. The patient was otherwise healthy, with no known allergies and no history of medication or chemical exposure. The physical examination revealed multiple, discrete, 1- to 4-cm, hyper-pigmented, salmon-colored, slightly scaly patches on both arms. The patient reported that the rash was itchy, it became more pronounced following sun exposure, and noted a “pin-pricking’ sensation. The doctor informs him that this is caused by a fungus. A. What disease does this patient have? B. What do you suspect is the likely cause of his infection? C. Explain each clue provided in the narrative. D. How is this infection treated?
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