Microbiology Case Studies Exam 2
A 28-year-old man has been taking clindamycin while hospitalized for nearly 2 weeks.
He recently started to experience abdominal cramping and watery diarrhea. The
attending physician decided to discontinue antibiotics to see if diarrhea would resolve
on its own. Advise and recommend therapies. - answer antibiotics were killing of the
man's normal flora which could result in a super infection - c. diff
treat with flagyl
A 38-year-old man and his 6-year-old son were out camping at the lake. Both were
bitten by ticks, which the father removed. However, now both of them have a low grade
fever, muscle aches, and bullseye rash near the site of the tick. Advise and recommend
therapies. - answertreat adult with tetracylin
treat son with a "flox"
A patient with a recent surgery is prescribed vancomycin as a prophylactic antibiotic. 6
hours later, he calls the nurse helpline, complaining of intense skin pruritus, burning
sensation, rash, headache, and trouble breathing. Advise and recommend therapies -
answerstop the VANC and treat with an antihistamine
A 19 year old female presents with 5 days of low grade fever, productive coughing,
fatigue, and chest/lung aches and pains. She still feels functional but is very
uncomfortable. Auscultation notes minor lung noises and crackles. CXR shows only
small, patchy infiltrates. Bronchial wash is sent to the lab and shows a gram n/a
organism. Advise and recommend therapies. - answershe has walking pneumonia
treat with zyvox
A 28 year old man present with larger carbuncles on his back. they are also tight, warm
red patches between them. they physician uses a sterile needle to drain the lesions and
prescribes antibiotics. Advise and recommend therapies. - answerhe has a boil which is
a staph aureus (gram +) so use a mech 1 topical
A 28 year old was brought back to the ER by ambulance a week later. Physical exam
noted 2 or more lesions on his back, an increased size of reddish area, and falling
functions. He has fever, starts of desquamation on the plams, a spreading rash,
hypotension, was lethargic and unresponsive. Advise and recommend therapies. -
answerhe has MRSA
treat with VANC or zyvox
A 28-year-old man has been taking clindamycin while hospitalized for nearly 2 weeks.
He recently started to experience abdominal cramping and watery diarrhea. The
attending physician decided to discontinue antibiotics to see if diarrhea would resolve
on its own. Advise and recommend therapies. - answer antibiotics were killing of the
man's normal flora which could result in a super infection - c. diff
treat with flagyl
A 38-year-old man and his 6-year-old son were out camping at the lake. Both were
bitten by ticks, which the father removed. However, now both of them have a low grade
fever, muscle aches, and bullseye rash near the site of the tick. Advise and recommend
therapies. - answertreat adult with tetracylin
treat son with a "flox"
A patient with a recent surgery is prescribed vancomycin as a prophylactic antibiotic. 6
hours later, he calls the nurse helpline, complaining of intense skin pruritus, burning
sensation, rash, headache, and trouble breathing. Advise and recommend therapies -
answerstop the VANC and treat with an antihistamine
A 19 year old female presents with 5 days of low grade fever, productive coughing,
fatigue, and chest/lung aches and pains. She still feels functional but is very
uncomfortable. Auscultation notes minor lung noises and crackles. CXR shows only
small, patchy infiltrates. Bronchial wash is sent to the lab and shows a gram n/a
organism. Advise and recommend therapies. - answershe has walking pneumonia
treat with zyvox
A 28 year old man present with larger carbuncles on his back. they are also tight, warm
red patches between them. they physician uses a sterile needle to drain the lesions and
prescribes antibiotics. Advise and recommend therapies. - answerhe has a boil which is
a staph aureus (gram +) so use a mech 1 topical
A 28 year old was brought back to the ER by ambulance a week later. Physical exam
noted 2 or more lesions on his back, an increased size of reddish area, and falling
functions. He has fever, starts of desquamation on the plams, a spreading rash,
hypotension, was lethargic and unresponsive. Advise and recommend therapies. -
answerhe has MRSA
treat with VANC or zyvox
