A 64-year-old woman, Mrs. Sharmila is brought to the emergency room, with a 3-day history of fever, worsening confusion, agitation, and disorientation. Her husband says that he also noticed drooping of her mouth on the left side, since this morning and immediately rushed her to the hospital. She has no other significant past history and no recent foreign travel. Examination reveals a pulse rate of 90 per minute, BP of 142/90 mm of Hg, and a temperature of 100.3F. She is drowsy and agitated but is able to follow directions. She has some neck rigidity. Weakness is present on the left side of the face with drooping of the angle of the mouth, inability to close her eyelids, and inability to furrow her forehead on the same side. The rest of the neurological examination is normal. CSF tap is performed and the lab results are attached below. What is the most likely causative agent in this condition

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
icon
Related questions
Question
10. A 64-year-old woman, Mrs. Sharmila is brought to the emergency room, with a 3-day history of fever, worsening confusion, agitation, and disorientation. Her husband says that he also noticed drooping of her mouth on the left side, since this morning and immediately rushed her to the hospital. She has no other significant past history and no recent foreign travel. Examination reveals a pulse rate of 90 per minute, BP of 142/90 mm of Hg, and a temperature of 100.3F. She is drowsy and agitated but is able to follow directions. She has some neck rigidity. Weakness is present on the left side of the face with drooping of the angle of the mouth, inability to close her eyelids, and inability to furrow her forehead on the same side. The rest of the neurological examination is normal. CSF tap is performed and the lab results are attached below. What is the most likely causative agent in this condition?
10. A 64-year-old woman, Mrs.
Sharmila is brought to the emergency
room, with a 3-day history of fever,
worsening confusion, agitation, and
disorientation. Her husband says that
he also noticed drooping of her mouth
on the left side, since this morning
and immediately rushed her to the
hospital. She has no other significant
past history and no recent foreign
travel. Examination reveals a pulse rate
of 90 per minute, BP of 142/90 mm
of Hg, and a temperature of 100.3F.
She is drowsy and agitated but is able
to follow directions. She has some
neck rigidity. Weakness is present on
the left side of the face with drooping
of the angle of the mouth, inability
to close her eyelids, and inability
to furrow her forehead on the same
side. The rest of the neurological
examination is normal. CSF tap is
performed and the lab results are
attached below. What is the most likely
causative agent in this condition?
Transcribed Image Text:10. A 64-year-old woman, Mrs. Sharmila is brought to the emergency room, with a 3-day history of fever, worsening confusion, agitation, and disorientation. Her husband says that he also noticed drooping of her mouth on the left side, since this morning and immediately rushed her to the hospital. She has no other significant past history and no recent foreign travel. Examination reveals a pulse rate of 90 per minute, BP of 142/90 mm of Hg, and a temperature of 100.3F. She is drowsy and agitated but is able to follow directions. She has some neck rigidity. Weakness is present on the left side of the face with drooping of the angle of the mouth, inability to close her eyelids, and inability to furrow her forehead on the same side. The rest of the neurological examination is normal. CSF tap is performed and the lab results are attached below. What is the most likely causative agent in this condition?
Expert Solution
steps

Step by step

Solved in 2 steps

Blurred answer
Knowledge Booster
Defense mechanism
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.
Similar questions
Recommended textbooks for you
Phlebotomy Essentials
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning