Medical microbiology for the new curriculum: a case-based by Roberta B. Carey

By Roberta B. Carey

Encompassing twenty-four clinically very important and often encountered infectious illnesses, the textual content presents all of the precious history and the main up to date therapy of the microbes that reason ailments in people. each one absolutely illustrated case learn is brought with a sufferer background, differential prognosis, scientific clues, laboratory facts, pathogenesis, remedy, and prevention. awarded as unknowns, the situations problem readers to create a differential analysis simply as they might in perform, together with noninfectious motives which can current comparable medical findings.

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Extra info for Medical microbiology for the new curriculum: a case-based approach

Sample text

Difficile–associated diarrhea (CDAD) may progress to pseudomembranous colitis, and severe symptoms that may require surgical intervention. Taking antibiotics that wipe out the normal bowel flora is a risk factor for acquiring CDAD. Stopping the offending antibiotic, treating the C. difficile with oral vancomycin or metroniazole, isolating the patient, and utilizing excellent hand hygiene and environmental disinfection are required to control the disease and prevent the transmission of the infection.

2 Urine WBC cast. 15 16 CASE TWO Student with Dysuria Urine Culture To obtain a clean-catch urine for culture, patients should be instructed to clean the urogenital area well with soap and water three times, then begin to void, and in the middle of voiding, a portion of the urine should be collected into a sterile container. If a patient is unable to provide a good midstream urine, a catheter can be inserted into the bladder to obtain a specimen, but this technique is more risky for the patient since organisms may be introduced into the bladder during the procedure.

Later in the illness (≥3 weeks) the patient has diarrhea and the organism can be cultured from the stool. Nontyphoid Salmonella are associated with a much lower rate of bacteremia, so routine blood cultures are not recommended except in special patient groups, such as infants and young children or those with sickle cell disease or human immunodeficiency virus (HIV). Y. enterocolitica also disseminates into the mesenteric lymph nodes and causes lower quadrant pain and fever. The presentation mimics acute appendicitis, and some patients have even undergone surgery, only to discover a normal appendix when the histopathology is reviewed.

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