A 20-year-old college student was informed following a physicalexamination that her blood test for syphilis was reactive. She indicated that she was a virgin and had never received a blood transfusion. Arepeat RPR test was positive, but the TPI test was negative. How would youexplain these bizarre results, and what is the clinical status of this patient?

A 20-year-old college student was informed following a physicalexamination that her blood test for syphilis was reactive. She indicated that she was a virgin and had never received a blood transfusion. Arepeat RPR test was positive, but the TPI test was negative. How would youexplain these bizarre results, and what is the clinical status of this patient?

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)...

See similar textbooks

Similar questions

Is the TREPONEMA PALLIDUM HAEMAGGLUTINATION TEST (TPHA) test specific for Treponema pallidum? Create an illustration showing a passive haemagglutination reaction Discuss how Syphilis causes disease
An American tourist was brought to the Emergency Room because of an alarming serpiginous track on his arm. The lesions itched continuously, and were painful to touch. He had just returned from holiday where he spent considerable period relaxing on public beaches, and had observed stray dogs on the beach. Photograph of forearm showing serpiginous lesions. a. What is the diagnosis ? b. How is this infection acquired? c. What therapy is appropriate? d. Why are dogs and cats not permitted on beaches in resort areas?
The patient was an 80-year-old female who 10 days previously had had a cystocele repair performed. At the time of the hospital admission, a urine culture was obtained and revealed >100,000 CFU/ml of an Escherichia coli strain that was susceptible to all antimicrobial agents against which it was tested. Postoperatively, she began a 7-day course of oral cephalexin. She was discharged after an uneventful postoperative course of 3 days. Ten days postoperatively, she presented with a 3-day history of diarrhea. The patient noted multiple watery, loose stools without blood, crampy abdominal pain, and vomiting. She presented with a temperature of 38.2 degrees C, pulse rate of 90/min, respiration rate of 20/min, and blood pressure of 116/53mm Hg. Her white blood cell count was normal, but a large number (53%) of immature polymorphonuclear cells were seen. Physical examination, electrolytes, liver enzymes, and lipase were all within normal limits. Cultures for Salmonella, Shigella, Yersinia,…
Why is it not possible to use Koch’s postulates to show that Treponema pallidum causes syphilis?
A serological test methods was conducted to determine typhoid fever using serum ( Widal test).Determine the bellow outcome; a.i) Interpret the results and it's limitations. ii) suggest the quality control observed in performing the test.
A 45-year-old florist presents to the general medical clinic with a pustule on the dorsal side of her right hand and nodules extending up the wrist as shown in the image attached.. She states that she hurt herself with metal wiring when she was making rose bouquets for a wedding. Microscopy of pus from the lesions shows cigar-shaped budding yeasts. Which of the following is the most likely causative agent of this patient's presentation? Answers A - E A Blastomyces dermatitidis B Candida albicans C D Coccidioides immitis Microsporum gypseum E Sporothrix schenckii O Question #12 attachment Jere Mammino, DO
Which of the following is true of the chancre observed dur-ing primary syphilis?(a) It disappears and leaves a scar.(b) It lasts throughout all stages of syphilis.(c) It is usually found on the face.(d) It is a hard, painless, lesion.(e) It is painful and purulent.
A 27-year old white female presented at the walking clinic of her local physician on August 15. On physical exam, the patient had a fever of 38.5C. She appeared fatigued, had tender joints, and complained of a headache, a stiff neck and a backache. The physician noticed a circular "rash" about 5 inches in diameter, with a bright red leading edge and a dim center in the form of a "bull's eye." The physician noted an irregular heartbeat. The patient complained of lack of ability to concentrate. The patient gave the following history: She is a graduate student in the wildlife program at the university in town. She was in the field for three weeks in Wisconsin during the months of May and June. She tracks small mammals in the field and studies their behavior. It had been a warm, wet spring and she complained of a large number of biting flies, mosquitoes and ticks in the area. She felt well until about two weeks after returning to her home. Since that time, many of her symptoms had…
Which of the following is NOT true about syphilis? Caused by a spirochete bacterium, Treponema pallidum None of the other four answers (All are true of syphilis) Secondary stage of syphilis is characterized by rubbery masses (gummas) in brain, cardiovascular system, skin, or other sites Primary stage is characterized by hard-based painless lesion called a chancre Can be diagnosed serologically using an indirect fluorescent antibody test (indirect immunofluorescence)
42-year-old presents to the clinic with chronic, debilitating, and bloody diarrhea. He says it began not long after returning from a camping trip. He admits to drinking water from a stream without using a filter or boiling it. You perform (Giardia Stool Antigen) test which comes back negative. What is his likely diagnosis? Trichomonas vaginalis Entamoeba histolytica O Toxoplasma gondii Plasmodium falciparum
A woman has been prescribed a broad-spectrum oral cephalosporin for a strep throat. What are some possible consequences in addition to cure of the infected throat?
What are the most characteristic symptoms of diphtheria and why was this disease so deadly prior to the use of the vaccine?