Question

Microbiology Case Study A. Disease cause by bacteria or viruses.

Case A A woman brings her 6 month-old son to the pediatrician. You are shadowing the doctor as part of your training. Prior to entering the examining room the physician examines the chart and hands it to you. THe admitting nurse has written on the chart that the chief complaint is a group of lesions on the baby's back. You enter the room and greet the mother. A three year old girl is leaning over to play with carrier on the floor. The baby is giggling and appears happy and healthy. You can see that t written in the chart that the baby was breast-fed from birth through his fourth month. The mother explains that the spots on the baby's back appeared two days ago and that the baby hasn't had a fever and seems well. She lifts the baby up and you examine the lesions which are comprised of a group of about seven t eight blister localized to the left of the baby's spine. They have a clear fluid in them. The physician says the lesions are diagnostic. the baby in his he nurse has 1. What are the lesions diagnostic of? Explain how you decided. 2. Although this particular condition is somewhat unusual in babies the lesions indicate that the child must have experienced a common childhood illness earlier. Which one? 3. The mother says that to her knowledge the baby has not had this common childhood illness, but that his three yr-old sister had it four months ago when the baby was 2 months old. Explain the link between the sister's illness and the baby's condition. 4. What factors probably influenced the fact that the baby did not have symptomatic illness when his sister was experiencing it? And what factors led to the eruption of the lesions now? 5. Is this a dangerous condition? Why or why not?

Answer 1

Answer......

1) The lesions described above, may be baby acne. It usually appears after few of weeks of the birth. It would appear that little pimples or whiteheads, encompassed by ruddy skin. The pimples are probably going to show up on infant's cheeks, yet may likewise show up on his temple, button and back (as described). The child's skin break out can turn out to be more affirmed when his skin is bothered by spit, drain deposit or texture that is harsh or that has been washed in solid cleanser.

Sometimes, these blisters are also appears due to the presence of skin fungi. Now and then, the typical equalizations that hold growths within proper limits are disturbed, bringing about a disease. Some contagious diseases cause just a little measure of aggravation, while different sorts infiltrate further and can bring about tingling, swelling, rankling, or scaling.

2) The disease can be anything from fungal infection, to tinea infection or viral infection.

3) The link between sister’s illness and the baby’s condition must be some skin disease causing microorganism (bacteria or fungus) which is contagious. So it is passed to the baby from her sister.

5) In my opinion, this can be a dangerous situation, if the blisters are followed by fever. Hence, proper medication should be provided to the baby.