Reference no: EM132635346
Case 1
A 4-year old girl presents at the emergency room with bloody diarrhea, fever and vomiting. The child's mother reports that the child has had these symptoms for about 24 hours and she has not passed any urine for about 12 hours.
The child is enrolled in a day care center and the group had recently made a field trip to a fast food place to learn about different jobs. The children had a lunch of ground beef, fries and cola after meeting with different workers. This field trip was 4 days earlier on Friday. The child had a temperature of 39C and showed physical signs of dehydration. Blood samples drawn showed evidence of greatly reduced kidney function and lysed red blood cells.
- What is your diagnosis here? What is organism is responsible?
- What pathogenic feature of this organism caused the severity of this problem?
- What were the critical features to your diagnosis?
Case 2
A 26-year old white female presents in her physician's office with genital itching and sharp, severe pain on the labia. She complains of three previous episodes of pain over the past 6 months, each of which were followed by the appearance of red sores which crusted and healed without a scar.
On examination the physician observes a cluster of small red blisters localized in the area of the worst pain. No significant discharge was observed from the vagina. The patient's urine was clear and yellow. Urinalysis revealed normal specific gravity, no sugar, no protein, no white blood cells or red blood cells and no bacteria. The patient's temperature was 36.5C.
The patient history reveals that she is unmarried. She is moderately sexually active and currently using an oral contraceptive which she has been taking for about 4 years. The woman stated that she has had 5 sexual partners over the past year. She reported that her episodes have become progressively more severe.
- What is the cause of this woman's complaint?
- As her physician, would you recommend that this woman modify her sexual activity?
- Is there an effective treatment for this condition?
- What serious long-term risk does this woman have?