Viral

Immune System


0

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M17_F1.jpg"}},{"insert":"\n\n"},{"insert":"It\u0027s been a slow day at the clinic, save for the one patient who was absolutely convinced that he had Ebola, after watching CNN.\n"}]}

1

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M17_F2.jpg"}},{"insert":"\n\n"},{"insert":"Jenny, 32 years old, is your next patient, accompanied by her sister, Beth.\n\nShe is visibly unwell, with both eyes bloodshot. Beth says she\u0027s been burning up for two nights.\n"}]}

2

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M17_F3.jpg"}},{"insert":"\n\n"},{"insert":"\u0022I\u0027ve been feeling really weak and achy all over,\u0022 adds Jenny.\n"}]}

3

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M17_F4.jpg"}},{"insert":"\n\n"},{"insert":"\u0022It\u0027s a wonder I didn\u0027t catch it as well,\u0022 says Beth, \u0022these radical climate changes can be bad for you, not to mention that airplanes are full of germs!\u0022\n"}]}

4

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M17_F5.jpg"}},{"insert":"\n\n"},{"insert":"This catches your attention and further questioning reveals they had been vacationing in Colombia with a group of friends. You learn that they spent time at the beach and participated in various outdoor activities such as rainforest hiking and spelunking.\n\nThey returned from their trip six days ago.\n"}]}

5

{"ops":[{"insert":"Mosquitoes were quite a problem and although they used repellant, both were bitten on several occasions.\n\nJenny goes on to tell you that she has a rash that started as a few reddish spots on her face but has since spread.\n"}]}

6

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M17_F7.jpg"}},{"insert":"\n\n"},{"insert":"On examination, Jenny is febrile (38\u02daC \/ 100.4\u02daF), with a BP of 110\/80 mmHg and a pulse of 92 bpm.\n \nYou observe morbilliform maculopapular lesions on her chest, abdomen, and back. There is no lymphadenopathy.\n"}]}

7

{"ops":[{"insert":"There has been a lot of alarm lately over Zika, a re-emerging viral disease with similar symptoms to dengue. You have been reading about it but weren\u0027t expecting to see an actual patient this soon.\n \nStill, Jenny\u0027s symptoms and recent history of travel to an emerging endemic area certainly raise reasonable suspicions.\n"}]}

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