INFECTIOUS DISEASE CASE STUDY 17- Gram - CoccobacilliThree-year-old Michael is brought to the emergency room of a largemetropolitan hospital by his parents. What began about a week agoas a seemingly mild cold has turned into a severe cough. Michaelhas experienced several “fits†of coughing in the past 24 hours.Each seems to become more violent. During the latest, he seemedunable to get air and had begun to turn blue in the hands, feet,nose, and lips. Between coughs, he noisily gasps for air. After aquick examination, the doctor readily admits him in respiratoryisolation. Laboratory Diagnosis A nasopharyngeal swab is obtainedand quickly sent to the laboratory for culturing in Bordet-Gengoumedium containing fresh blood. After five days of incubation, tinyglistening colonies with a pearl-luster appearance were visible. Anarrow zone of hemolysis is present around the colonies.Immunofluorescent staining revealed tiny coccobacilli.
1. Which of these is the most likely cause of Michael’ssymptoms? (1 point) - Diphtheria - Pertussis - Tuberculosis -Pneumocystis carnii
2. What is the name of the microorganism that causes thisinfection? Type answer as two words, using appropriatecapitalization and separating each word with one space. (1point)
3. What is the common name of this infection? Type answer as twowords, separated by one space and using lowercase letters. (1point)
4. Explain why this infection was given this common name. Typeanswer as 1 or 2 short sentences in your own words and usingcorrect spelling, grammar and punctuation. Copied and pastedanswers may receive 0 credit. (2 points)
5. Most cases of this infection occur in what population? (1point) - Children under 5 and older adults - children 4 years ofage and under - Immunocompromised individuals - teenagers to youngadults
6. The route of transmission for this infection is primarilythrough _______________. - Feces - Respiratory droplets - Bodilyfluids - Parenteral injection
7. During the catarrhal stage of this infection, which of thefollowing symptoms occur? Mark all that apply. - Whoop sound uponinhalation - sneezing - Nasal drainage - nasal congestion - Hackingcough - occasional cough
8. During the paroxysmal stage of this infection, which of thefollowing symptoms occur? Mark all that apply. - Whoop sound uponinhalation - sneezing - Nasal drainage - nasal congestion - Hackingcough - occasional cough
9. What standard “well baby†immunization procedure has Michaellikely missed? Be specific please
10. Knowing the immunization for this infection was likelymissed, for what other diseases is Michael at risk? Explain. Bespecific.
11. What is the prescribed treatment for this infection?
