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Micro case 1

Micro case 1

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Micro case 1

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  1. Micro case 1 • Over the course of 1 week, a 6-year-old boy develops 0.5- to 1.0-cm pustules on his face. During the next 2 days, some of the pustules break, forming shallow erosions covered by a honey-colored crust. New lesions then form around the crust. The boy's 40-year­old uncle develops similar lesions after visiting for 1 week during the child's illness.

  2. Case No. 12 (Micro Case 2) • Clinical History: A 10 year old male had severe pharyngitis. Seven days later he developed fever, malaise, oliguria and hematuria. The acute illness resolved without treatment. At age 20, he was rejected by the Army because of "proteinuria". At age 55, six months before death he developed impairment of his vision and was found to have severe hypertension. [Case 12 ImageScope][Case 12 WebScope]

  3. Streptococcus pyogenesBeta hemolysis

  4. [Case 12 ImageScope][Case 12 WebScope]

  5. [Case 12 ImageScope][Case 12 WebScope]

  6. [Case 12 ImageScope][Case 12 WebScope]

  7. [Case 12 ImageScope][Case 12 WebScope]

  8. [Case 12 ImageScope][Case 12 WebScope]

  9. Case No. 51 (Micro Case 3) • Clinical History: A 45 year old male became ill approximately 2 to 3 weeks ago following an alcoholic spree. He had nausea, vomiting, dehydration, confusion and high fever. He died rather suddenly shortly after admission. [Case 51 ImageScope][Case 51 WebScope]

  10. [Case 51 ImageScope][Case 51 WebScope]

  11. [Case 51 ImageScope][Case 51 WebScope]

  12. [Case 51 ImageScope][Case 51 WebScope]

  13. [Case 51 ImageScope][Case 51 WebScope]

  14. Case No. 195 (Micro Case 4) • Clinical History: A 67 year old male had rheumatic heart disease for thirty years. Three months prior to death he began to have episodes of fever and chills accompanied by signs of worsening congestive heart failure. Splinter hemorrhages and purpuric skin rashes were noted three weeks before death. [Case 195 ImageScope][Case 195 WebScope]

  15. [Case 195 ImageScope][Case 195 WebScope]

  16. [Case 195 ImageScope] [Case 195 WebScope]

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  18. Case No. 123 (Micro Case 6) • Clinical History: A 25 year-old woman has had pelvic pain, fever, and vaginal discharge for 3 weeks. On physical examination, she has lower abdominal adnexal tenderness and a painful, swollen left knee. Laboratory studies show WBC count of 11,875/mm3 with 68% segmented neutrophils, 8% bands, 18% lymphocytes, and 6% monocytes. [Case 123 ImageScope][Case 123 WebScope]

  19. [Case 123 ImageScope] [Case 123 WebScope]

  20. [Case 123 ImageScope] [Case 123 WebScope]

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  22. Case No. 9 (Micro Case 7) • Clinical History: A 51 year old male had a "neurogenic bladder", caused by a spinal cord tumor. He had multiple bladder infections which were treated with antibiotics. He had surgery to remove the tumor. Postoperatively, he developed fever and costovertebral angle tenderness which did not respond to antibiotics. He expired and an autopsy was performed. [Case 9 ImageScope][Case 9WebScope]

  23. MacConkey agar

  24. Blood agar

  25. [Case 9 ImageScope][Case 9WebScope]

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