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Alcoholic, Fever, Night Sweats, Productive Cough. Acid Fast Stains Of Sputum Positive. What Does It Sound Like?
Robert, a 50-year-old male, presents to his primary care physician with a 3-month history of fevers, night sweats, productive cough, and an 11-kilogram weight loss. He is not an intravenous drug user (IVDU) or homosexual, but admits to numerous heterosexual encounters. The patient was released from jail 3 years ago, has a past history of numerous stab wounds, and is a confirmed alcoholic. Acid-fast stains of his sputum are positive and the bacteria were isolated from the right middle lobe of his lung. (6 points)
What organism is Robert infected with?
Give an example of two other sites of the body that might be attacked by this bacterium, apart from the lung. (2 points)
What risk factors does Robert have for infection with this organism? (3 points)
What organism is Robert infected with?
Give an example of two other sites of the body that might be attacked by this bacterium, apart from the lung. (2 points)
What risk factors does Robert have for infection with this organism? (3 points)
Thu, 25 Jul 2013
hello,
thank you for using healthcare magic,
it sounds like robert is suffering from pulmonary tuberculosis in simple terms T.B... acid fast bacilli will be mycobacterium tuberculosis.. all symptom which you mentioned are typical of tuberculosis.
T.B.can affect almost every organ of body like brain , bone, stomach , grnital organ etc..
you can go for more confirmatory test like PCR or mycobacterium culture..
consult physician to treat tuberculosis its treatment is called DOTS..
from history i would like to suggest you that take test for HIV also like ELISA OR P24 as from history robert seems at high risk and T.B. is COMMONLY associated with hiv
hope this helps you..
take care..
Regards,
Dr.Nehal..
thank you for using healthcare magic,
it sounds like robert is suffering from pulmonary tuberculosis in simple terms T.B... acid fast bacilli will be mycobacterium tuberculosis.. all symptom which you mentioned are typical of tuberculosis.
T.B.can affect almost every organ of body like brain , bone, stomach , grnital organ etc..
you can go for more confirmatory test like PCR or mycobacterium culture..
consult physician to treat tuberculosis its treatment is called DOTS..
from history i would like to suggest you that take test for HIV also like ELISA OR P24 as from history robert seems at high risk and T.B. is COMMONLY associated with hiv
hope this helps you..
take care..
Regards,
Dr.Nehal..
I find this answer helpful
Hi,
Mr. Robert is suffering from Pulmonary tuberculosis as history is strong and Micobacterium Tuberculi bacilli are found in sputum and from lungs.
Tuberculum bacilli can affect bones, intestines, kidneys etc.
If he is untreated he will spread infections to others with cough, sputum and via air.
If taken treatment properly, he will be alright.
Ok and take care.
Mr. Robert is suffering from Pulmonary tuberculosis as history is strong and Micobacterium Tuberculi bacilli are found in sputum and from lungs.
Tuberculum bacilli can affect bones, intestines, kidneys etc.
If he is untreated he will spread infections to others with cough, sputum and via air.
If taken treatment properly, he will be alright.
Ok and take care.
I find this answer helpful
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