Cindy is a thirty-five-year-old volunteer in an inner-citychurch-sponsored preschool program. The mothers of the neighborhoodare encouraged to bring their children to the program for a “timeout.†Most of the children are present on an irregular basis one ortwo times a week.
            Oneday, Zach, a 2½ year-old became ill during his stay. A rash ofsmall red spots that were not raised above the skin surface wasobserved during his changing, and he had a slight fever. His motherwas located and encouraged to take him to the local clinic.
            Shortlyafter this, Cindy confirmed what she had suspected for about amonth—a home pregnancy test was positive. At her visit to theobstetrician, Cindy relayed the story of Zach’s illness to thenurse when asked if she had recently been exposed to any illnesses.Cindy had not been overly-concerned about Zach’s rash but hadseemed to be mildly ill herself about three weeks after thatincident. The obstetrics nurse seemed to be very interested in thisexposure and said that they would contact the clinic and see ifZach had visited and been diagnosed. Blood tests were also orderedfor Cindy.
Laboratory Results
            Theinitial hemagglutination inhibition test indicated an antibodytiter of 1:16. Subsequent sera collected 10 and 21 days latershowed no significant change. There was no significant level ofIgM-specific antibody detected.
Which of these is most characteristic of Zach’s symptoms
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| | Chicken pox 2)Howcould Zach’s illness have been prevented? Be specific 3)Arise in titer over 10 to 21 days and the presence of the specificIgM type antibiodies is diagnostic of a current infection in thisillness. Based on the laboratory results given in this case study, Cindy’sbaby is at risk for congenital rubellasyndrome?true/false 4) |
