Question

and arainage, yielding a large amount or pus, and the superficial Tascia (the thin layer of loose fatty connective tissue underlying the dermis and binding it to the parts beneath) was found to not be intact. A Gram stain of the superficial fascia and surrounding seropurulent is shown below. a) Identify the disease presented by the patient. b) Identify the causal agent. Be as specific as possible based on the information provided (do not abbreviate). c) Identify at least one (1) antimicrobial that can be used to treat this patient. d) Is there a vaccine available for this pathogen? If so, name it.

Answer 1

##### Answer and Explanation ####

• Identified disease in the patient skin- This is a bacterial caused disease which infects a layer superficial fascia, a layer of connective tissue below the skin. This disease is known as Necrotizing fasciitis.
• Causal agent- This is a gram positive bacteria i.e. Staphylococcus aureus, it is a round shape bacteria i.e cocci type bacteria that is the member of Firmicutes. Since it is the Methicillin Resistance Staphylococcus aureus, Hence it is known as MRSA. In the given stain it can easily be seen that the coccus are grouped in chain manner.
• Antimicrobial agents - Some antibiotics Fluoroquinolone i.e moxifloxacin and Penicillin i.e amoxicillin clavulanate. May be useful somehow for their treatment.
• Vaccine- Till date no vaccine is available for the treatment of the Necrotizing fasciitis , although research is going for the discovery of its vaccine.

Thanks