Case study help!!! A 23 year old female complaining of diarrhea. She said it sta
ID: 207913 • Letter: C
Question
Case study help!!!
A 23 year old female complaining of diarrhea. She said it started when she was in Peru on a backpacking trip to Machu Picchu. She figured it might have been something she ate or drank and figured it would go away but unfortunately, it has not. Food poisioning? She indicated that she cooked all of her food really well, and mostly are pre-packaged food from the states. Do we believe her? If not food poisioning, what else could cause this??
Below is the Case Study Form:
Patient History:
Patient #:_______________________
Age:___________________________
Sex:___________________________
Occupation:______________________
Family History/Preconditions:
Relevant Recent History:
Signs and Symptoms:
Signs:
Symptoms:
Microbiology:
Causative Organism(s):_________________
Modes of Transmission:_________________
____________________________________
Prevention:___________________________
Virulence Factor:
Mechanism of Virulence Factor:
Treatment:
Drug Name:__________________________
Class of Drug:________________________
____________________________________
Type of Admission:____________________
Potential Side Effects of Drug Treatment:
Mechanism of Treatment:
Lab Work:
Type of Sample Received:_______________
____________________________________
Test(s) To Determine Causative Organism:
Positive Results of Test(s):
Explanation / Answer
Patient History
Name Unknown
Age 23
Sex Female
Occupation Unknown (Tourist)
Famly History: unknown (Not required)
Relevant Recent history: None
Signs and Symptoms
Loose and watery stool
Abdominal Pain
Fever
Microbiology
Causative Agent : Escherichia coli O157:H7
Mode of Transmission: Spoiled Home food cooked and brought from States
Prevention: Eat fresh and fully cooked food
Virulence Factor Mechanism: Entereotoxin Production that acts on the digestive system
Treatment:
Drug name: Trimethoprim-Sulfamethoxazole
Class of Drug: Sulfonamides
Type of Admission: Oral
Side effect of Drug : Anorexia, Nausia, Vertigo, Rash, Seizure, Toxic epidermal Necrolysis
Mechanism of Treatment: By Blocking biosynthesis of nucleic acids and essential protein
Lab work
Type of sample: Stool sample
Test to determine causative organism: Stool culture and PCR/Antigen assay
Positive result of Tests:
a. Stool culture confirms E coli by GI infection panel.
b. Toxin search proves positive