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What was wrong with this child when he was transferred to the university hospital? Based upon your interpretations of figures 1 and 2, what organism do you think is most likely to be causing his illness? Defend your position. Describe the pathogenesis of this infection. What bacterial vaccines should this child have received by this time, including the number of doses? Did the child receive this vaccine based on the information provided?

What was wrong with this child when he was transferred to the university hospital? Based upon your interpretations of figures 1 and 2, what organism do you think is most likely to be causing his illness? Defend your position. Describe the pathogenesis of this infection. What bacterial vaccines should this child have received by this time, including the number of doses? Did the child receive this vaccine based on the information provided?

Human Anatomy & Physiology (11th Edition)
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
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What was wrong with this child when he was transferred to the university hospital? Based upon your interpretations of figures 1 and 2, what organism do you think is most likely to be causing his illness? Defend your position. Describe the pathogenesis of this infection. What bacterial vaccines should this child have received by this time, including the number of doses? Did the child receive this vaccine based on the information provided?
Transcribed Image Text:What was wrong with this child when he was transferred to the university hospital? Based upon your interpretations of figures 1 and 2, what organism do you think is most likely to be causing his illness? Defend your position. Describe the pathogenesis of this infection. What bacterial vaccines should this child have received by this time, including the number of doses? Did the child receive this vaccine based on the information provided?
The patient was a 13-month old child who, on the day of admission, seemed fine according to his mother except for a runny nose and a low-grade fever (which she treated with Tylenol). Later in the day, while riding in the car with his mother, he suddenly had a grand mal seizure with shaking of the arms and legs. The seizure lasted 2 minutes. She called an ambulance. The emergency medical technicians found him limp, unresponsive, and apparently post ictal (post seizure state). In the emergency room he had a second seizure. On physical examination, he had a temperature of 39.5 ° C, and a pulse of 160 BPM. He was noted to be lethargic, but his neck was supple. Except for a runny nose, the rest of his physical examination was normal. Blood and urine cultures were obtained to rule out sepsis, and the child was begun on IV ceftriaxone (rocephin). His vaccination record is incomplete, but his mother insists that he is up to date on all vaccines. The patient's mental status did not improve overnight, and a lumbar puncture was performed and a CSF WBC count of 4,650 cells/uL, with 95% neutrophils, glucose of 48 mg/dl (normal, 50-75 mg/dl), and protein of 107 mg/dl (normal, 15-45 mg/dl). Overnight his WBC count had increased to 14,600 cells/uL. He was transferred to a university hospital, where he was found to be irritable and have a stiff neck. His admission blood culture was positive. Gram stains of the organism obtained from the blood culture is shown in figure 1. Growth of the organism is shown in figure 2. M Figure 1: Organism under 1000x TM (Gram rxn) Figure 2: Organism grown on chocolate and 5% sheep's blood agar, respectively.
Transcribed Image Text:The patient was a 13-month old child who, on the day of admission, seemed fine according to his mother except for a runny nose and a low-grade fever (which she treated with Tylenol). Later in the day, while riding in the car with his mother, he suddenly had a grand mal seizure with shaking of the arms and legs. The seizure lasted 2 minutes. She called an ambulance. The emergency medical technicians found him limp, unresponsive, and apparently post ictal (post seizure state). In the emergency room he had a second seizure. On physical examination, he had a temperature of 39.5 ° C, and a pulse of 160 BPM. He was noted to be lethargic, but his neck was supple. Except for a runny nose, the rest of his physical examination was normal. Blood and urine cultures were obtained to rule out sepsis, and the child was begun on IV ceftriaxone (rocephin). His vaccination record is incomplete, but his mother insists that he is up to date on all vaccines. The patient's mental status did not improve overnight, and a lumbar puncture was performed and a CSF WBC count of 4,650 cells/uL, with 95% neutrophils, glucose of 48 mg/dl (normal, 50-75 mg/dl), and protein of 107 mg/dl (normal, 15-45 mg/dl). Overnight his WBC count had increased to 14,600 cells/uL. He was transferred to a university hospital, where he was found to be irritable and have a stiff neck. His admission blood culture was positive. Gram stains of the organism obtained from the blood culture is shown in figure 1. Growth of the organism is shown in figure 2. M Figure 1: Organism under 1000x TM (Gram rxn) Figure 2: Organism grown on chocolate and 5% sheep's blood agar, respectively.
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