CASE STUDY A 20-year-old construction worker called into the company clinic with a complaint of low-grade…

In: Nursing

CASE STUDY A 20-year-old construction worker called into the company clinic with a complaint of low-grade…

 

 

CASE STUDY

A 20-year-old construction worker called into the company clinic with a complaint of low-grade fever, malaise, and headache. He was told to take two aspirins every four hours and get back to work. He came in 3 days later. His headache had never completely gone away and was now much worse. His fever was now 40.3°C. In addition, he had developed photophobia and a stiff neck.

  1. The stiff neck accompanied by a headache get the young man immediate attention. What is the presumptive diagnosis?
  2. The lumbar puncture revealed a glucose level that was low, and a protein level of 220 mg/dl (elevated). This is most indicative of a viral or bacterial infection of the nervous system? Thoroughly explain your choice and explain the results of the lumbar puncture as it relates to the diagnosis.
  3. Select ONE possible etiological agent of this type of infection (there are many) and list characteristics of the etiological agent. Give background information on this organism’s microbial characteristics, nutritional requirements, virulence factors, epidemiology, and susceptibility to antibiotics.
  4. Discuss how your patient was infected, treatment and long term prognosis.

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