Question

A 45-year-old woman was on vacation in Cape Cod, Massachusetts and decided to attend an outdoor music festival. In order to get there she had to walk 3 miles each way at night, through a dark, wooded, grassy area. Shortly thereafter she developed nonspecific symptoms that included fever, headache, muscle aches, mild neck stiffness, and joint pain. She also noticed an oval bull's eye rash on her right arm, which got larger and cleared in the center. Over the ensuing month she felt increasingly fatigued and developed facial paralysis (Bell's palsy), which precipitated a visit to her family physician. She could not remember being bitten by any insects that would cause the rash but based on her description of the rash and her other symptoms her doctor suspected a tick-borne disease and took a blood sample for serology. Enzyme immunoassay and Western blot confirmed the presence of bacterial reactive antibodies. After confirming that the patient was not pregnant she was prescribed doxycycline 100 mg twice dally for 30 days.

Based on the information presented in the case study, answer the following questions:

1. What microorganism or virus do you believe is to blame for the child’s illness?
2. What information from the patient’s symptoms contributed to your decision?
3. What information from the patient’s history contributed to your decision?
4. Based on what you know about this microorganism or virus, what steps can be taken to treat the illness?

Answer 1

Q. No. 1. Answer :

The Lyme tick or deer tick bite is happens here because this tick bite only looks like solid red or ovals, or bull's eye shape.

Which Lyme tick diseases caused by bacterrium borrelia burg dorferi, and it is transmitted to human beings through bite by an black legged ticks.

The microorganism like Herpes simplex is most likely linked to the development of bells palsy, which causes cold sores and genital herpes.

Q. No. 2. Answer :

The information from the patients symptoms contributed my decision is, the client got symptoms like, fever, head ache, muscle ache, mild neck stiffness, and joint pains ,these are we will seen in Lyme tick bite only.

Q. No. 3. Answer :

The information from the patient history contributed my decision is, to attend outdoor music festival, she had to walk 3 miles, each way at night, through a dark wooded grassy area.

Because this Lyme ticks lives in the edges of the woods, and around old stone walls, and they will cling to tall grass, brush, and shrubs, also lives in gardens.

So the patient went or walked in this type of area, so there is an evidence for this Lyme tick bite.

Q. No. 4. Answer :

* based on this, the Lyme ticks diseases is caused by bacterium of borrelia burgdorferi, through thick bites these bacterium may transmits from ticks to human beings.

* and it will cause the symptoms like head ache, fever, fatigue, muscle aches, skin rashes, ect.

* pain medications should be provide to symptomatic relief.

* mostly it is treated by antibiotics like penicillin, and nonsteroidal anti inflammatory drugs.

* neurological symptoms may treated by under neuro physicians,

* provide psychological and emotional support.

* provide physiotherapy.