18 replies to this topic

[MarionSauce]

Posterior Pharyngeal Swabis viscous, yellowish with bloodUpper Respiratory Infection2 year old male experienced an upper resp infection 2 weeks prior to hospital admission. 4 days prior to admission, anorexia and lethargy were noted. Fever of 39.9 celsius. Clear chest, exudative pharyngitis and bilaterally enlarged cervical lymph nodes.No group A (pyogenic ) Streptococci.So, what am I dealing with here? I'm thinking of Neisseria, Cornyebacterium, BordetellaAnyways, anyone who can help me out would be great!

[zimmer4141]

syphilis from Ron Mexico.Didn't even read the post, just saw disease.

[Wingmaster05]

whoa...it all just went over my head before i could think.

[MarionSauce]

Zimmer4141 said:

syphilis from Ron Mexico.Didn't even read the post, just saw disease.

Haha. I was thinking Neisseria Gonorrheae but t hat would mean someone stuck a dirty dck down the 2 year old kid's mouth.. :shock:

[zimmer4141]

Wow, I just read the OP, and now what I said seems so wrong.

[No_Neck]

I would consult someone that has MD at the end of thier name. (I am always willing to state the obvious)

[MarionSauce]

No_Neck said:

I would consult someone that has MD at the end of thier name.  (I am always willing to state the obvious)

Does it look like I know any!!

[princeof56k]

Wait are you sick or is this someone else (like a kid)? Or is this for a test or something?

[MarionSauce]

princeof56k said:

Wait are you sick or is this someone else (like a kid)?  Or is this for a test or something?

My Biol 444 assignment. Like I'm a 2 year old kid!

[princeof56k]

MarionSauce said:

princeof56k said:

Wait are you sick or is this someone else (like a kid)?  Or is this for a test or something?

My Biol 444 assignment. Like I'm a 2 year old kid!

LoL I thought you had a kid or something (plus I understood like 3 words out of the whole post).My sister's a pediatric (I probably didnt spell that right). I could send her an e-mail, but there's no telling when she'll get back to me.

[MarionSauce]

princeof56k said:

MarionSauce said:

princeof56k said:

Wait are you sick or is this someone else (like a kid)?  Or is this for a test or something?

My Biol 444 assignment. Like I'm a 2 year old kid!

LoL I thought you had a kid or something (plus I understood like 3 words out of the whole post).My sister's a pediatric (I probably didnt spell that right). I could send her an e-mail, but there's no telling when she'll get back to me.

Pediatrician? That would be really nice man! Thanks a lot

[princeof56k]

MarionSauce said:

Pediatrician? That would be really nice man! Thanks a lot      

Yep a Pediatrician. I sent the email, but I cant promise a response. She just completed her residency, but still does shifts at the hospital. If she just finished an insane 12 hour shift at the hospital, I have a feeling a lot of my emails get auto-deleted.

[MarionSauce]

Why I am not going into med school! Ever!

[Allie]

Marion....are you to only consider bacterial causes for this assignment? Could it be viral? The most common cause of those symptoms in a child that age other than strep....adenovirus?

[MarionSauce]

Hey Allie-Yeah o nly bacterial infections. The Course is called "Microorganisms and Disease". Woe is me!

[Allie]

I'm no expert Marion...but the 3 you've listed seem most likely, if we are excluding strep and viral causes. Is that all the info on the patient you have? Based on what you've said....Bordetella....pertussis....would have presence of cough???...which is not listed as a symptomCornyebacterium....diptheria.....3rd world country? Neisseria....most likely....consider child abuse??

[princeof56k]

Ok, here's the best my sister could come up with. Dont know if this helps or not. And btw, I didnt tell her what you thought it was. I just told her the symptoms.

Quote

Anyway, there's not enough info here to say exactly what it is, but here are a few choices:1.  Corynebacterium diptheria classically causes bilateral tonsil membrane that is whitish-grey that bleeds when swabbed.  Also causes lymphadenopathy and fever and neurological complications 2 -3 weeks after infection (hence the lethargy).  However, everyone is immunized in the US, so it is VERY rare here.2.  EBV or Mononucleosis, although pt is a little young for this- it is typically seen in older kids3.  CMV mononucleosis.  rare also - it is often confused with EBV mono.  4.  Viral - such as Adenovirus or Coxsakie virus, these usually have rash too.5.  Leukemia/ lymphoma ia always considered with prolonged fevers and lymphadenopathy.    That' s all I can come up with.  

[digitalmonkey]

My money is on diptheria.

[evesixer]

Okay, now I am starting a Grey's Anotamy thread. this show censored rocks.