Case 1: In late August, a woman brought her 11 year old son, Michael, to their family physician after she noticed he had three patches of a pale red rash on his neck and back. The rash was not raised, and the patches were roughly circular and the outermost edges of the rash appeared the darkest red, reminiscent of a bullseye. Two of the patches had a partially cleared center (no red remained there). When the physician asked Michael how to describe how he felt, Michael's only response was that he felt like he was coming down with the flu. When asked if the rash caused him any discomfort or itched, he replied that he hadn't even known about it until his mother had noticed it. The physician asked a few more questions about Michael's history in order to help pinpoint the cause of the rash. He discovered that Michael had returned home from a summer camp in northwest Connecticut two days ago where he'd done a lot of hiking, camping, and other outdoor activities like swimming. The rash's appearance and Michael's case history allowed the doctor to dismiss poison ivy and oak as the cause of the disease. He explained to Michael's mother that it was a bacterial infection and gave her a prescription for antibiotics. Using the information given in the case history, you should answer the following questions. 1. What is the name of disease which afflicted Michael and what is the infectious agent that caused it? 2. How did Michael most likely contract this infection? Is there a particular vector? 3. What general precautions (besides an immunization) should Michael have taken to help prevent infection with this organism? 4. Is there an immunization/vaccine that would have helped to prevent the infection? If so, what is it? 5. What antibiotic(s) would the doctor have prescribed for this type of infection? 6. What could have happened to Michael if his mother had not noticed the rash and taken him to the doctor (in other words, how would the untreated infection have progressed)?

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Chapter2: Where, Why, And What
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Case 1:
In late August, a woman brought her 11 year old son, Michael, to their family physician after she noticed
he had three patches of a pale red rash on his neck and back. The rash was not raised, and the patches were
roughly circular and the outermost edges of the rash appeared the darkest red, reminiscent of a bullseye.
Two of the patches had a partially cleared center (no red remained there). When the physician asked Michael
how to describe how he felt, Michael's only response was that he felt like he was coming down with the flu.
When asked if the rash caused him any discomfort or itched, he replied that he hadn't even known about it
until his mother had noticed it. The physician asked a few more questions about Michael's history in order to
help pinpoint the cause of the rash. He discovered that Michael had returned home from a summer camp in
northwest Connecticut two days ago where he'd done a lot of hiking, camping, and other outdoor activities
like swimming. The rash's appearance and Michael's case history allowed the doctor to dismiss poison ivy and
oak as the cause of the disease. He explained to Michael's mother that it was a bacterial infection and gave
her a prescription for antibiotics.
Using the information given in the case history, you should answer the following questions.
1. What is the name of disease which afflicted Michael and what is the infectious agent that caused it?
2. How did Michael most likely contract this infection? Is there a particular vector?
3. What general precautions (besides an immunization) should Michael have taken to help prevent infection
with this organism?
4. Is there an immunization/vaccine that would have helped to prevent the infection? If so, what is it?
5. What antibiotic(s) would the doctor have prescribed for this type of infection?
6. What could have happened to Michael if his mother had not noticed the rash and taken him to the doctor
(in other words, how would the untreated infection have progressed)?
Transcribed Image Text:Case 1: In late August, a woman brought her 11 year old son, Michael, to their family physician after she noticed he had three patches of a pale red rash on his neck and back. The rash was not raised, and the patches were roughly circular and the outermost edges of the rash appeared the darkest red, reminiscent of a bullseye. Two of the patches had a partially cleared center (no red remained there). When the physician asked Michael how to describe how he felt, Michael's only response was that he felt like he was coming down with the flu. When asked if the rash caused him any discomfort or itched, he replied that he hadn't even known about it until his mother had noticed it. The physician asked a few more questions about Michael's history in order to help pinpoint the cause of the rash. He discovered that Michael had returned home from a summer camp in northwest Connecticut two days ago where he'd done a lot of hiking, camping, and other outdoor activities like swimming. The rash's appearance and Michael's case history allowed the doctor to dismiss poison ivy and oak as the cause of the disease. He explained to Michael's mother that it was a bacterial infection and gave her a prescription for antibiotics. Using the information given in the case history, you should answer the following questions. 1. What is the name of disease which afflicted Michael and what is the infectious agent that caused it? 2. How did Michael most likely contract this infection? Is there a particular vector? 3. What general precautions (besides an immunization) should Michael have taken to help prevent infection with this organism? 4. Is there an immunization/vaccine that would have helped to prevent the infection? If so, what is it? 5. What antibiotic(s) would the doctor have prescribed for this type of infection? 6. What could have happened to Michael if his mother had not noticed the rash and taken him to the doctor (in other words, how would the untreated infection have progressed)?
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