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  #1  
Old 08-30-2012
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Default Candida

A 56 yrs old man comes to physician because of the painful swallowing over last week. He experiences no difficulty with swallowing other than related to his discomfort. Physical examination is unremarkable. The patient is referred for an endoscopy, and a biopsy specimen reveals budding cells and easily disrupted chains of elongated cells. Which of the following would most likely predispose this patient to hematogenous dissemination of his infection?

A. Low T- lymphocyte count
B. low eosinophil count
C. Low neutrophil count
D. Complement deficiency
E. hypogammaglobulinemia

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  #2  
Old 08-30-2012
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a) Low T-lymphocyte count
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Old 08-30-2012
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C.......Neutropenic patient

Physical examination is unremarkable. The patient is referred for an endoscopy, and a biopsy specimen reveals budding cells and easily disrupted chains of elongated cells. Which of the following would most likely predispose this patient to hematogenous dissemination of his infection?

A. Low T- lymphocyte count
B. low eosinophil count
C. Low neutrophil count
D. Complement deficiency
E. hypogammaglobulinemia

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  #4  
Old 08-30-2012
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A) low T cell count as its a fungal infection.
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Old 08-30-2012
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a) low neutrophil count

local infection-----T cells
systemic infection-----neutrophills
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Old 08-30-2012
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Low T lymphocyte count
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  #7  
Old 08-30-2012
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I'll go with a.)Low T- lymphocyte count
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Old 08-30-2012
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Correct Answer

Quote:
Originally Posted by venky2600 View Post
a) low neutrophil count

local infection-----T cells
systemic infection-----neutrophills
sorry it's C) low neutrophil count.......wrongly printed as A.....
coz, if for local infection(candidiasis)-----it's T cells'
but, the question asked hematogenous spread( systemic infections------neutrophils)
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Old 08-30-2012
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Default ya its C low neurophil count

for local infection(candidiasis)-----it's T cells'
but, the question asked hematogenous spread( systemic infections------neutrophils)[/QUOTE]

As venky stated.
So in diseases like AIDs (which affect Tcells) there is a local infection like- oral thrush.

But in patients with neutropenia, candida can cause systemic infection.
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