Two-year-old Janice Tumminello survived an episode of Haemophilus influenzae septicemia at 4 months by intravenous antibiotic therapy. Her immunizations are up to date. Three days ago her adoptive parents became concerned when she became lethargic, had several bouts of vomiting, and developed a fever, and they took her to the emergency room. She had a rapid pulse and low blood pressure, her peripheral areas were cold, and purpura began to develop on her fingers and toes. Blood cultures tested positive for Streptococcus pneumoniae. Aggressive antibiotic treatment and fluid-replacement therapy were successful in preventing further dissemination of the bacteremia. However, amputation of three digits on the left hand and debridement of her toes on both feet was required. A diagnosis of overwhelming severe pneumococcal sepsis was made. DNA analysis showed that Janice had a deleterious mutation in a gene encoding _____, which is associated with congenital asplenia. a. an immunoglobulin b. a defensin c. a ribosomal protein d. a complement protein e. a T-cell receptor.
Two-year-old Janice Tumminello survived an episode of Haemophilus influenzae septicemia at 4 months by intravenous antibiotic therapy. Her immunizations are up to date. Three days ago her adoptive parents became concerned when she became lethargic, had several bouts of vomiting, and developed a fever, and they took her to the emergency room. She had a rapid pulse and low blood pressure, her peripheral areas were cold, and purpura began to develop on her fingers and toes. Blood cultures tested positive for Streptococcus pneumoniae. Aggressive antibiotic treatment and fluid-replacement therapy were successful in preventing further dissemination of the bacteremia. However, amputation of three digits on the left hand and debridement of her toes on both feet was required. A diagnosis of overwhelming severe pneumococcal sepsis was made. DNA analysis showed that Janice had a deleterious mutation in a gene encoding _____, which is associated with congenital asplenia. a. an immunoglobulin b. a defensin c. a ribosomal protein d. a complement protein e. a T-cell receptor.
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Two-year-old Janice Tumminello survived an episode of Haemophilus influenzae septicemia at 4 months by intravenous antibiotic therapy. Her immunizations are up to date. Three days ago her adoptive parents became concerned when she became lethargic, had several bouts of vomiting, and developed a fever, and they took her to the emergency room. She had a rapid pulse and low blood pressure, her peripheral areas were cold, and purpura began to develop on her fingers and toes. Blood cultures tested positive for Streptococcus pneumoniae. Aggressive antibiotic treatment and fluid-replacement therapy were successful in preventing further dissemination of the bacteremia. However, amputation of three digits on the left hand and debridement of her toes on both feet was required. A diagnosis of overwhelming severe pneumococcal sepsis was made. DNA analysis showed that Janice had a deleterious mutation in a gene encoding _____, which is associated with congenital asplenia. |
a. an immunoglobulin |
b. a defensin |
c. a ribosomal protein |
d. a complement protein |
e. a T-cell receptor. |
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