CLINICAL CASE 10 Clinical Case 10/1 mother after a full-term, whereas the father
ID: 3475481 • Letter: C
Question
CLINICAL CASE 10 Clinical Case 10/1 mother after a full-term, whereas the father had been diagnosed as having STD 9 days before the In late June, a male infant, of normal weight, was born to a primiparous uncomplicated pregnancy. The mother had received prenatal care and tests for STDs were reported as negative infant's birth. The mother was admitted to the obstetric ward in active labour, with spontaneous rupture of membranes and a copious green vaginal discharge. Hours later, a normal infant was delivered vaginally. The infant's eyes were treated with erythromycin ophthalmic ointment about 5 minutes a fter delivery Approximately 24 hours after birth, the results of the cultures obtained from the mother the day before delivery were reported as positive for a and the child were treated with penicillin. At 2 days of age, the infant swelling and redness. The same microbe was isolated. The infant was gram-negative diplococci, oxidase-positive organism, and both the mother developed a copious yellowish discharge from both eyes, along with ocular treated with aqueous penicillin, 50,000 units/kg intravenously (IV), for 7 days. In addition, his eyes were washed with saline every 30 minutes to 1 hour, and tetracycline eye ointm rrigation. The infant's eyes gradually improved over the next 2-3 days Topical therapy was maintained for 5 days. Examination by an ophthalmologist revealed no corneal damage. 1. What is the microorganism described here as gram negative, oxidase- positive? 2. What is the role of this microorganism in causing STD? In males? In females? 3. How the infant got infected? 4. Is this infection serious? What may happen if is neglected? 5. Why both of them (mother and the child) were treated with penicillin?Explanation / Answer
1Ans: Gram Negative Diplococci, Oxidase positive organism.
2Ans: Gonococcal infections are acquired by sexual contact and usually affect mucous membranes of the urethra in men and the endocervix in women. If it is diployed (two poled) called Diplococci.
3Ans: As his mother has copius green aginal discharge which is filled with bacteria, during delivery this vaginal dischage contavted with new born and his eyes got affted with the infection.
4Ans: Yes it is something very serioud, if it is not treated it's going to spread through all system parts reaches brain and causes meningitis. brain development and body growth may reatarted.
5And: To treat the bacterial infection that they both have.