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Katie D - mm3 with 90 neutrophils Katie is told she has...

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Melissa Worrell WPM2-B 218 Case Study Homework Katie D., a 25 year old female nurse, has been with fever for the past couple of weeks with accompanied symptoms of headache, nausea, vomiting, and stiff neck. A few weeks ago, Katie had been swimming in a friends lake in Orlando, Florida. Her friend did not wish to fully submerge her entire body in the lake, keeping her head above the water, though Katie did and swam for quite a long time. Katie began feeling ill within the first week after swimming in Clear Lake. Recently, Katie has been expriencing confusion, loss of balance, hallucinations, seizures, and lack of attention to people and her surroundings. At the hospital, the doctor performs a lumbar puncture to examine CSF, which is cloudy and contained 2.5 mmol/L glucose, 4.54 g/L protein, and a leukocyte count of 6,800/
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Unformatted text preview: mm3 with 90% neutrophils. Katie is told she has meningoencephalitis (Naegleria fowleri) . Katie is treated with intravenous and intrathecal amphotericin B and miconazole, as well as oral rifampin. After a week of therapy Katie's signs and symptoms improved, and after two weeks of treatment, a repeat CSF turned out completely normal with no evidence of naegleria trophozoites. Katie is very lucky the doctors were able to diagnose her disease and that her treatment was successful, because very few people with this infection survive. “Emerging Infectious Diseases.” Centers for Disease Control and Prevention. 2004. 09 Sept. 2004. < http://www.cdc.gov/ncidod/EID/vol10no10/04-0273.htm > “Naegleria Infection.” Emedicine. 30 June 2006. <http://www.emedicine.com/MED/topic1582.htm>...
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