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Otitis Case Study

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Peter was born after an uneventful pregnancy and weighed 3.1kg. At 3 months, he developed otitis media and an upper respiratory tract infection. At the ages of 5 months and 11 months, he was admitted to hospital with Haemophilus influenzae pneumonia. The infections responded promptly to the appropriate antibiotics on each occasion. He is the fourth child of unrelated parents: his three sisters show no predisposition to infection.

Examination at the age of 18 months showed a pale, thin child whose height and weight were below the third centile. There were no other abnormal features. He had been fully immunized as an infant (at 2, 3 and 4 months) with tetanus and diphtheria toxoids, whole-cell pertussis, Haemophilus conjugate vaccine and oral …show more content…

He was given the appropriate treatment. Over the following 2 years, his health steadily improved: his weight and height are now on the 10th centile, and he has had only one episode of otitis media in the last 18 months

Lab tests: *Normal range for age 18 months shown in brackets.

Quantitative serum immunoglobulins (g/l)

IgG 0.17 [5.5-10.0]

IgA Not detected [0.3-0.8]
Mosaed Alobaidallah BMS 581 Exam#4

IgM 0.07 …show more content…

A chest X-ray was normal but lung function tests showed reversible airways obstruction. Skin tests showed an immediate reaction to six common antigens.
1.What is the clinical diagnosis? 

The patient has allergic asthma.

2.Why did the patient has skin tests? 

The skin test was ordered to identify the allergen that causing asthma symptoms.

3.What is the immediate treatment and what is the longterm treatment? 

The immediate treatment: This type of treatments helps to relieve asthma symptoms when they happen, and there are several types of this treatment:
• Short-acting beta agonists
• Ipratropium (Atrovent)
• Oral and intravenous corticosteroids
The longterm treatment: this type of treatments helps to prevent and control asthma symptoms, and patients need to take this type of medicine everyday for best result. There are several types of longterm treatment:
• Inhaled corticosteroids
• Leukotriene modifiers
Mosaed Alobaidallah BMS 581 Exam#4

• Long-acting beta agonists
• Combination inhalers: contain a long-acting beta agonist with a corticosteroid.
• Theophylline

Part 2
Discuss the following briefly:

1. What is the microenvironment in the

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