Chapter 10, Problem 1EDCS

(1)

Summary Introduction

To determine:

How Jason and Julie possibly got infected, why CA-MRSA is considered as an evolving disease, given that MRSA has been around for years, and why the map does not display more countries in South America and Africa with cases of CA-MRSA.

Case summary:

Julie was surprised and feels very proud that her boyfriend bought her a tattoo as an 18th birthday gift. After a week, Julie and Jason are affected by an evolving disease, which is referred to as community-associated, methicillin-resistant Staphylococcus aureus (CA-MRSA) diseases. Julie’s leg and arm are layered with swollen, red, and painful lesions (containing pus); soon, she developed fever. Jason misunderstood that he suffered a spider bite (Wednesday). On the next day, he is unable to walk, and he noticed a red-color line going up from his ankle to his groin. Soon, his health condition became worse and he was hospitalized for 10 days.

He was severely affected by bacteremia (blood) and osteomyelitis (his bones are affected). For many years, the health center workers fought to control healthcare-associated MRSA (HA-MRSA). Usually, the HA-MRSA infects hospitalized patients, but in recent years, common people (other than hospitalized patients) are also affected; for example, risky tattooists, school students, and athletes. It is spread by sharing clothes, fomites, razors, and towels.

Julie is suggested oral antimicrobials such as doxycycline, trimethoprim-sulfamethoxazole, and clindamycin) and she was given vancomycin (intravenous).

(2)

Summary Introduction

To determine:

Why CA-MRSA is considered as an evolving disease, given that MRSA has been around for years.

Case summary:

Julie was surprised and feels very proud that her boyfriend bought her a tattoo as an 18th birthday gift. After a week, Julie and Jason are affected by an evolving disease, which is referred to as community-associated, methicillin-resistant Staphylococcus aureus (CA-MRSA) diseases. Julie’s leg and arm are layered with swollen, red, and painful lesions (containing pus); soon, she developed a fever. Jason misunderstood that he suffered a spider bite (Wednesday). On the next day, he is unable to walk, and he noticed a red-color line going up from his ankle to his groin. Soon, his health condition became worse and he was hospitalized for 10 days.

He was severely affected by bacteremia (blood) and osteomyelitis (his bones were affected). For many years, the health center workers fought to control the healthcare-associated MRSA (HA-MRSA). Usually, the HA-MRSA infects hospitalized patients, but in recent years, common people (other than hospitalized patients) are also affected; for example, risky tattooists, school students, and athletes. It is spread by sharing clothes, fomites, razors, and towels.

Julie is suggested oral antimicrobials such as doxycycline, trimethoprim-sulfamethoxazole, and clindamycin) and she is given vancomycin (intravenous).

(3)

Summary Introduction

To determine:

Why the map does not display more countries in South America and Africa with cases of CA-MRSA.

Case summary:

Julie was surprised and feels very proud that her boyfriend bought her a tattoo as an 18th birthday gift. After a week, Julie and Jason are affected by an evolving disease, which is referred to as community-associated, methicillin-resistant Staphylococcus aureus (CA-MRSA) diseases. Julie’s leg and arm are layered with swollen, red, and painful lesions (containing pus); soon, she developed a fever. Jason misunderstood that he suffered a spider bite (Wednesday). On the next day, he is unable to walk and he noticed a red-color line going up from his ankle to his groin. Soon, his health condition became worse and he was hospitalized for 10 days.

He was severely affected by bacteremia (blood) and osteomyelitis (his bones are affected). For many years, the health center workers fought to control the healthcare-associated MRSA (HA-MRSA). Usually, HA-MRSA infects hospitalized patients, but in recent years, common people (other than hospitalized patients) are also affected; for example, risky tattooists, school students, and athletes. It is spread by sharing clothes, fomites, razors, and towels.

Julie is suggested oral antimicrobials such as doxycycline, trimethoprim-sulfamethoxazole, and clindamycin) and she is given vancomycin (intravenous).