A 52-year-old woman presents with a localized swelling and purulent abscess in her right hand and enlarged lymph nodes in her axial region (under the armpit). She sustained a small puncture wound while replanting rose bushes 1 week earlier. She has repeatedly cleaned and dressed the wound with antibiotic treatment with no success. The physician collects an aspirate from the abscess, Gram stain reveals Gram-positive cocci in clusters. Laboratory data follow: Catalase: Positive Coagulase: Latex positive What culture media would be appropriate for culture and identification of the suspected isolate? Why? BBL, MSA What antibiotics would be used to treat this infection? Could there be any treatment problems with this isolate?

A 52-year-old woman presents with a localized swelling and purulent abscess in her right hand and enlarged lymph nodes in her axial region (under the armpit). She sustained a small puncture wound while replanting rose bushes 1 week earlier. She has repeatedly cleaned and dressed the wound with antibiotic treatment with no success. The physician collects an aspirate from the abscess, Gram stain reveals Gram-positive cocci in clusters. Laboratory data follow: Catalase: Positive Coagulase: Latex positive What culture media would be appropriate for culture and identification of the suspected isolate? Why? BBL, MSA What antibiotics would be used to treat this infection? Could there be any treatment problems with this isolate?

Microbiology for Surgical Technologists (MindTap Course List)

2nd Edition

ISBN:9781111306663

Author:Margaret Rodriguez, Paul Price

Publisher:Margaret Rodriguez, Paul Price

Chapter9: Microbial Disease Transmission

Section: Chapter Questions

Problem 1UTM: As an illustration, a patient undergoing a laparoscopic-assisted vaginal hysterectomy (LAVH)...

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A 52-year-old woman presents with a localized swelling and purulent abscess in her right hand and enlarged lymph nodes in her axial region (under the armpit). She sustained a small puncture wound while replanting rose bushes 1 week earlier. She has repeatedly cleaned and dressed the wound with antibiotic treatment with no success. The physician collects an aspirate from the abscess, Gram stain reveals Gram-positive cocci in clusters. Laboratory data follow: Catalase: Positive Coagulase: Latex positive What culture media would be appropriate for culture and identification of the suspected isolate? Why?
A 30-year-old rancher was admitted to a hospital on February 12 because of a two-day history of headache, chills, and 40 degree Celsius fever. Before he was admitted, he began vomiting. During his admission it was found out that he has an orange-sized swelling in the left axilla. A laboratory analysis was administered using lymph-node aspirate and smear of peripheral blood, the result was reported to contain gram-positive cocci, often in pairs. Due to this situation he was given cefoxitin. The patient was acutely ill. Within a few hours of admission, he had a cardiopulmonary arrest. During resuscitation efforts, he vomited and aspirated his vomitus; a chest X-ray showed bilateral infiltrate. The patient was also bled from several body sites. Six hours after admission the patient died. Based on data given, the patient had trapped, killed, and skinned 3 kit foxes, 4 coyotes, and 1 bobcat. The patient cut his left hand shortly before skinning the bobcat on February 7. After his death,…
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A 35-year-old African American woman complains of shortness of breath and cough for the last 2 months. She also has had fatigue and mild subjective fever. Physical examination reveals several discrete subcutaneous nodules. No masses or organomegaly is found. A chest radiograph shows bilateral hilar lymphadenopathy but no lung or mediastinal masses. A biopsy of one of the skin nodules shows noncaseating granuloma. What are the diagnostic considerations? What serum blood test can help confirm the diagnosis?
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Patient X goes to the doctor. Her intake report has all normal vital signs. Area of cellulitis is warm and red. No swollen lymph nodes observed. No pus was removed at the ingrown hair site during the visit. Patient X is referred to surgery, given IM ceftriaxone and oral cephalexin. After 48 hours, there is now fluctuance near the ingrown hair site and patient has a low grade fever. Pus is extracted for gram stain and culture. Incision and drainage of the site followed. Results showed a gram positive, coagulase positive, coccus microbe. Blood agar plates showed colonies with beta-hemolysin. What microbe is causing her cellulitis? How did she become infected? Why were incision and drainage necessary to treat this infection? Why would antibiotics not be used in this infection? What other types of infections does this organism cause? If this patient presented with fever, diffuse skin rash, low blood pressure, and diarrhea, what virulence factor might the organism causing his…
A 65 year old patient developed blisters on his torso 2 days ago which he described as itchy and painful. The lesion is localized to hist right trunk and no other lesions are present elsewhere. No other symptoms were noted. He took Paracetamol every 6 hours for pain with no resolution. The patient is afebrile and there are vesicles with erythematous base distributed on his right trunk. As his doctor, how do you manage this patient?
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A woman gave birth (normal delivery) two days ago, but she needed to stay at hospital due to some medical complications. She needed no ventilation during her admission time but continued to have IV fluids due to her health state. After three days, she started to have fever, chills, rapid pulse, rapid breathing, nausea and vomiting.• CSF, urine and blood samples were taken and sent to the lab.• Results was as follows:• CSF: Negative• Blood culture: gram positive catalase positive cocci in clusters.• Urine culture: gram positive catalase negative cocci in chains What do you think about the pathogen in blood and urine?
This is a case study for Immunology & Serology with (4) questions for studying purposes. A 35-year-old man recently received a kidney transplant. He had been feeling well until 2 weeks before, when he experienced a sore throat, fever, chills, profound malaise, and myalgia. Splenomegaly and lymphadenopathy were observed. His medications included cyclosporine. 1. Could this patient be suffering from an infectious disease?2. Why would this patient be susceptible to an opportunistic infection?3. How could an infection of this type be potentially eliminated?4. Are health care workers at risk for infections of this type?