A family of four that is made

A family of four that is made up from a 2 and 8 year oldplus their parents were traveling from Europe to the USA. On theway it was noticed that the 8 year old boy is having fever,headache and his head was tilting to the right in addition therewas some form of rash developing on his hands and feet. Theirfather was feeling very fatigued with flu like symptoms thatincluded a headache and tilting of the head with a pain in theirneck. A rash was noticed on the father’s hands and some areas ofhis feet. The other two members of the family were doing very well.Upon arrival to the USA both the child and his father were admittedto the hospital. A spinal tap reflected the presences ofNeisseria meningitidis in their CSF. The rash hasspread more in the 8 year old but it is no longer showing on hisfather. They have all been vaccinated against thisbacteria.

I. Explain the pathogenesis of the diseases in both the 8 yearold and the father and why their symptoms differ.

II. Explain why the mother and the 2 year old did not have anysymptoms of the disease.

III. Explain your method of treatment for both ill members andwhat precautions if any would take to protect the mother and the 2year old.

Answer:

Neisseriaeni meningitis is also known as meningococcus .It is agram negative bacteria causing meningitis.

1) It usually resides in nasopharynx of human beings only.It isspread by respiratory and throat secretion.It enters thenasopharynx and resides on the mucosa>It crosses the mucosalepithelial cells>Enters the bloodstream>crosses blood brainbarrier>meningitis.

The symptoms differ due to immune response of the father andchild.

2)The mother and 2 year child has not got the infection might bebecause of minimal or no direct contact with the other two.Theywere also vaccinated.

3) The first line treatment for this case is Isolation toprevent transmission.

starting them with Antibiotics, because the organism spreadsvery rapidly in the blood and could cause sepsis and death.

24 hours of appropriate antibiotics is amust

Use personal protective devices especially mask

Precautions to be followed by mother and 2 year old are

  • Get vaccinated
  • Don’t use personal items shared
  • Staying away from infected people for the child
  • Vigorous handwashing after touching patient
  • Boost immune system baby has to be vaccinated and feededproperly.

 
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