Case Study 1: This 68-year-old North Carolina man with diab…
Case Study 1: This 68-year-old North Carolina man with diabetes mellitus was admitted to the hospital for evaluation of a persistent right lower lobe infiltrate. Three weeks prior to admission, he presented to an outside physician for evaluation of fever, chills, weight loss, and anorexia. A chest radiograph demonstrated a right lower lobe infiltrate. He was treated with oral amoxicillin, but his condition worsened. His PPD test was negative and three sputum specimens were negative for acid-fast bacilli on smear. Sputum specimens were sent for fungal culture. The patient works in a cotton mill in the so-called “opening room”, where he opens bundles of cotton received from the southwestern United States. Cultures of sputum and blood grew a mold which on microscopic examination had numerous rectangular alternating light and dark structures. Case Study 1.1: What is the most likely fungus causing this man’s illness?
Read DetailsCase Study 4: A male textile worker in a fur store is admit…
Case Study 4: A male textile worker in a fur store is admitted to the emergency room of a New York City hospital suffering from breathing difficulties and coughing spasmodically. A chest x-ray reveals pleural effusions and widening of the mediastinum. The physician notices the presence of vesicular lesions and black, necrotic skin tissue on the man’s hands. A stat gram stain of vesicle fluid indicated the presence of large, gram-positive bacilli. Case Study 4.2: How did the patient likely contract this organism?
Read Details