A 62-year-old woman came to the clinic with complaints of abdominal bloating and diarrhea for the past week. She was especially bothered by frequent passing of gas. She had recently returned from a trip to India where she was involved in missionary work. There was no presence of blood in her stool. Additionally, she reported experiencing mild nausea. She had no history of abdominal surgery and was not taking any medications. What is the recommended course of treatment?
A 55-year-old man was admitted to hospital for a cellulitis that had not improved with empirical antibiotic treatment. He is currently taking warfarin for atrial fibrillation and is allergic to penicillin. During the course of his stay he developed a severe diarrhoea, and was put into a side-room after a stool sample returned positive for Clostridium difficile.
Which antibiotic most likely contributed to his developing C. difficile?
Which organism causing bacteraemia/sepsis necessitates the combined use of penicillin and an aminoglycoside for effective treatment?
A 30-year-old man comes to the Emergency Department with a headache that has been bothering him for the past 48 hours. He is experiencing neck stiffness and photophobia, and his temperature is 39 °C. The Brudzinski sign is positive. The patient has a history of intravenous drug use (IVDU) and human immunodeficiency virus (HIV) infection. He admits to not following his highly active antiretroviral therapy (HAART) medication regimen. A lumbar puncture is performed, and the cerebrospinal fluid (CSF) analysis reveals budding yeast cells that stain strongly with India Ink. What antimicrobial medication would you suggest?
A 35-year-old man visits his General Practitioner to receive the results of an HIV test, which come back positive. What test would be the most helpful in determining his likelihood of developing an opportunistic infection (OI)?
A 30-year-old sexually active, unmarried man comes in with a painful sore on the glans of his penis. He reports experiencing discomfort and swelling in both of his groin areas. Upon examination, a tender ulcer with distinct, undermined borders that bleeds easily is discovered. Additionally, bilateral inguinal lymphadenopathy is observed during the examination, and a small sinus is visible above one of the lymph nodes, with pus easily expressed.
What is the probable diagnosis?
What is an example of an organism that can only survive inside a host cell?
A 35-year-old bird keeper in a zoo developed fever and difficulty breathing after handling a new group of birds imported from Brazil. Which microorganism is likely to have caused his illness?
A 30-year-old woman presents to you with complaints of dysuria, right flank pain and suprapubic discomfort following her honeymoon. What is the most probable causative organism for her symptoms?
An 80-year-old woman presents to the Emergency Department with a 3-day history of fever, anorexia, and right upper quadrant pain. She appears lethargic and confused about her surroundings. Upon examination, there is significant tenderness in the abdomen, particularly in the right upper quadrant. What is the probable bacterial source of her infection?