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Old 07-14-2011
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Microbiology Common Transmission Route - Infection

While working in a rural village in South America, a volunteer physician encounters a 7-year-old girl who presents with a 1-week history of jaundice. The patient's mother reports that, for the past few weeks, the girl has not eaten well and that she has often felt nauseated and has vomited after the few meals that she has eaten. A few days ago, the girl's urine darkened and her stool became pale. On physical examination, the physician notes a fever of 38.5°C (101.3°F), hepatomegaly, jaundice, and icterus. A liver enzyme panel reveals an alanine aminotransferase level of 10,103 IU/ml and an aspartate aminotransferase level of 8030 IU/ml. The patient and her mother deny any illicit drug use or sexual contacts or abuse of the patient. The mother also reports that 1 month ago, two of the girl's playmates had similar symptoms.

Which of the following pathogens shares the route of transmission as the pathogen most likely causing this girl’s symptoms?

a) Flavivirus
b) Polivirus
c) Hepatitis B
d) Rabies Virus
e) Varicella-Zoster
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Old 07-14-2011
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I think it is polio as well

Last edited by usluipek; 07-15-2011 at 04:56 AM.
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Old 07-14-2011
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yup,its a.flavivirus
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Old 07-14-2011
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Answer B. I would say polio since the person would not have Hep B or C since there is no sexual content or needle stick or anything. I would say that this has to do something with a fecal/oral transmission. From the answer choices above... polio is transmitted fecal/orally also i believe. So i would assume that the girls have either Hep A or E.
Flavivirus- Hep C so that is not it.
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Old 07-15-2011
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B, yup it;s polio, pt may have HAV and polio is transmitted fecoral route too.
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Old 07-15-2011
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Quote:
Originally Posted by mkamal23 View Post
Answer B. I would say polio since the person would not have Hep B or C since there is no sexual content or needle stick or anything. I would say that this has to do something with a fecal/oral transmission. From the answer choices above... polio is transmitted fecal/orally also i believe. So i would assume that the girls have either Hep A or E.
Flavivirus- Hep C so that is not it.
yup i think B too.
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Old 07-15-2011
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th ans is B pt suffering from HAV n the route of spread is feco oral
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Old 07-15-2011
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Ya even i think its B..Feco oral transmission..
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Old 07-15-2011
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Correct Answer Correct answer is B.

Exactly, the Right answer is B, Poliovirus, is the only on this list who is FECAL ORAL route transmission. Other's choice are not oral fecal route.

The patient on this vignette has Hep A. Both polio and Hep A follows the same route.

It is tricky, but as many of you though on Flavivirus, i also though it was flavivirus at first, if you ask me why ? i dont know, i just picked that one and then i re-read the question.
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