Question: A 19 Yo Female Recruit In The US Army Was Seen In The Infirmary With A 3 Day History Of A “sore Throat”, Malaise And Headache Of Progressing Severity. On Examination Her Throat Was Erythematous Without The Presence Of Pustular Or Vesicular Lesions. She Had Mild Cervical Lymphadenopathy And Her Temperature Was 101F. No History Of Medication Or Other …

A 19 yo female recruit in the US Army was seen in the infirmary with a 3 day history of a “sore throat”, malaise and headache of progressing severity. On examination her throat was erythematous without the presence of pustular or vesicular lesions. She had mild cervical lymphadenopathy and her temperature was 101F. No history of medication or other allergies were reported. 1) What is your diagnosis at this time? 2) What lab tests, if any, would you perform at this time? 3) What is your treatment at this time? Two days later the patient reports to the infirmary with a severe headache, “stiff neck”, nausea, and a temperature of 103.5F. 4) What is your diagnosis at this time? (BE SPECIFIC!) 5) What procedure needs to be performed at this point? What 2 lab tests need to be performed on conjunction with your answer to #5? 6) 7) 8) What is the most LIKELY pathogen involved here? 9) What is the DRUG OF CHOICE for the patient at this time? Name 2 factors that need to be addressed given this patient’s “living accommodations” and the potential “exposure” to other recruits. 10) 11) 12) Besides SEPSIS, discuss the pathophysiology behind another serious complication of this pathogen/disease that can impact the blood. (100 word minimum)