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Chapter 24, Problem 1EDCS

(1)

Summary Introduction

To determine:

The reason why Jacob’s lymph nodes got swollen during the course of skin infection.

Case summary:

In the given scenario, person J got a prairie dog as a pet for his birthday. Two weeks after that, he was exhausted and felt terrible. He had fever accompanied by headache and muscle ache. Then the lymph nodes in his armpits and neck got swollen. He also got frightening large lesions all over his face and hands. For the next three weeks, the lesions became crusty and fell off, but got replaced by new lesions. It was confirmed that he had monkeypox, which is also a disease of rodents and canids, including prairie dogs. Jacob remained sick for 4 weeks, but monkeypox is not as virulent as smallpox, so Jacob recovered with one a few scars.

(2)

Summary Introduction

To determine:

The reason why the doctor did not prescribe penicillin, erythromycin, or ciprofloxacin.

Case summary:

In the given scenario, person J got a prairie dog as a pet for his birthday. Two weeks after that, he was exhausted and felt terrible. He had fever accompanied by headache and muscle ache. Then the lymph nodes in his armpits and neck got swollen. He also got frightening large lesions all over his face and hands. For the next three weeks, the lesions became crusty and fell off, but got replaced by new lesions. It was confirmed that he had monkeypox, which is also a disease of rodents and canids, including prairie dogs. Jacob remained sick for 4 weeks, but monkeypox is not as virulent as smallpox, so Jacob recovered with one a few scars.

(3)

Summary Introduction

To determine:

How a virus of rodents can cause a disease in monkeys or humans.

Case summary:

In the given scenario, person J got a prairie dog as a pet for his birthday. Two weeks after that, he was exhausted and felt terrible. He had fever accompanied by headache and muscle ache. Then the lymph nodes in his armpits and neck got swollen. He also got frightening large lesions all over his face and hands. For the next three weeks, the lesions became crusty and fell off, but got replaced by new lesions. It was confirmed that he had monkeypox, which is also a disease of rodents and canids, including prairie dogs. Jacob remained sick for 4 weeks, but monkeypox is not as virulent as smallpox, so Jacob recovered with one a few scars.

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