LaTeisha was finally headed back from Nigeria! This trip hadbeen transformational but she was also

glad to head back home to hot showers, familiar food, and aroutine including her own car. Two weeks in

the rural countryside is a lot.... Abuja was her new favoritecity! Her church had told them all about the

amazing work the medical missionaries did and she already hadher CNA so why not? It would be a great

experience and look good on her application to PA school.

And it was incredible... she helped administer vaccines, culturestrep throat, detect atypical pneumonia in

coughing children, just amazing. She was impressed by theresilience of the Nigerian villagers; they were

struggling with drought, the cows were spontaneously abortingthe calves, and militias visited from the

north all too often but they quietly persevering all the same. .The villagers inspired her and she knew it

was international medicine she was destined to do for her wholelife.

But now, just the morning after her flight landed in Atlanta,she wasn’t feeling so well. She felt it a little

on the plane but that could have just been her fear of lying.She was pretty sure she had a fever now. She

felt kinda achy too – knees and elbows and neck. Not so fun. Shestill had a week before school so she

could just be lazy and recover. She slept the day away.

The next day, things were worse. Her mom insisted she call adoctor. She was vomiting now and it was...

black. Her mom also said that her eyes looked funny, yellowish.They went to an urgent care clinic near

their house. As the PA on duty, you take her case history,temperature, blood and stool samples. Her

really low blood pressure and the color of the vomit wereserious indicators

4.

The pathogen causing

LaTeisha’s illness is _______

5.

This organism is severely damaging LaTeisha’s body. How does itcause damage and what isONE virulence factor