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Microbiology-3


Microbiology-3


حالة سريرية

الوصف الكامل Background
An AIDS patient is brought to the emergency ward after suffering a grand mal seizure.
The man informs the emergency ward physician that he has suffered a persistent headache in the past few weeks, but denies any sensory problems or weakness.
Fearing a brain tumor, the emergency ward physician orders a CT scan of the patient.
However, the scan instead reveals several ring-enhancing masses in the patient's brain.
The physician confirms his suspicions when he learns the patient has many cats at home.
He expects that a brain biopsy whould show crescent-shaped trophozoites.
What is the diagnosis?? and what is the treatment??

مريض AIDS أحضر إلى جناح الطوارئ بعد أن تعرض لنوبة صرع كبير.
ذكر المريض للطبيب أنه عانى من صداع مستديم في الأسابيع السابقة ولكنه لم يتعرض لأي مشاكل حسية أو ضعف.
خوفا من ورم دماغي طلب الطبيب CT Scan.
أظهر التصوير عدة كتل ذات تعزيز محيطي في دماغ المريض.
أكد الطبيب ظنونه عندما علم أن المريض لديه عدة قطط في المنزل.
وتوقع أن خزعة الدماغ ستظهر أتروفات هلالية الشكل.
ما هو التشخيص؟؟ وما هو العلاج؟؟

الاستقصاءات Investigations
MRI:

CT:

SAMO's picture
by
السنة الخامسة


cerebral toxoplasmosis
sulfadiazine plus pyrimethamine for 14 days

Dr_Ayyad
بعد التخرج

i hope the third year students r reading the cases SAMO put.
THey r very useful in understanding the importance of Microbiology.

Thanx SAMO

DAM's picture
DAM


Toxoplasmosis

absolutely true

Usually Aids pts. are more prone to it and infection is aqcuired by ingesting food contaminated with cat feces containing the cysts or eating beaf meat not cocked well

actually for Rx we give folinic acid plus the agents above and we must do blood tests weekly, why ????/

Dr.Riyad's picture
Dr.Riyad
بعد التخرج

Quote:
i hope the third year students r reading the cases SAMO put
We are Surprised Surprised

but every time i open a case i find it already solved

Rolling Eyes Rolling Eyes

I'll try to participate in the "Clinical Cases" pages and other medical pages in summer insha2 Allah

Thank U dr.samo

Captain87
بعد التخرج

Toxoplasma Gondii
Sulfonamide and Pyrimethamine
Quote:
actually for Rx we give folinic acid plus the agents above and we must do blood tests weekly, why ????/

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SAMO's picture
SAMO
السنة الخامسة
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