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Ch. 21 - Microbial Diseases of the Skin and Eyes
Tortora - Microbiology: An Introduction 14th Edition
Tortora14th EditionMicrobiology: An IntroductionISBN: 9780138200398Non è quello che usi tu?Cambia libro di testo
Capitolo 17, Problema 3

A 12-year old boy had a fever, rash, headache, sore throat, and cough. He also had a macular rash on his trunk, face, and arms. A throat culture was negative for Streptococcus pyogenes.
The boy most likely had
a. Streptococcal sore throat.
b. Measles.
c. Rubella.
d. Smallpox.
e. Hand-foot-mouth disease.

Guida verificata passo dopo passo
1
Step 1: Review the symptoms presented by the boy: fever, rash, headache, sore throat, cough, and a macular rash on the trunk, face, and arms.
Step 2: Note that the throat culture was negative for Streptococcus pyogenes, which helps rule out streptococcal sore throat (option a).
Step 3: Understand the characteristics of each disease option: measles typically presents with fever, cough, coryza, conjunctivitis, and a maculopapular rash starting on the face and spreading downward; rubella also causes a rash but is usually milder and accompanied by lymphadenopathy; smallpox presents with a more pustular rash; hand-foot-mouth disease has vesicular lesions primarily on hands, feet, and mouth.
Step 4: Compare the boy's symptoms and rash distribution with the typical presentation of measles, rubella, smallpox, and hand-foot-mouth disease to identify the most likely diagnosis.
Step 5: Conclude which disease best fits the clinical picture based on the presence of fever, cough, macular rash on face and trunk, and negative streptococcal culture.

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