BUGS!
Welcome to the ER
Picture This
Where am I?
It's Complicated
100
This organism produces cord factor which prevents lysosomal fusion.
What is Mycoplasma tuberculosis?
100
A 60-year-old Caucasian male presents with a non-productive cough that has been present for four weeks. While gathering the social history, your patient reports a long-standing history of smoking as well as an employee of an air-conditioning company. A chest radiograph is obtained and reveals patchy infiltrates bilaterally. This is the most likely organism.
What is Legionella pneumoniae?
100
What is this disease? (Slide 2)
What is Interstitial pneumonia (Atypical)
100
This organism, which causes both skin and lung manifestations is located in the central and Southeast United States.
What is Blastomycoses dermatitidis.
100
This can spread to the vertebral column causing Pott's disease.
What is secondary TB?
200
This is the most common bacterial cause of Typical CAP.
What is Streptococcus pneumoniae?
200
A patient comes to the clinic and presents with dry cough, sore throat, fever, and decreased breath sounds. These symptoms have been present for about one week. This patient does not smoke, drinks a 1-2 beers a day, and has been married for 20 years. He works as a used car salesman and coaches his son’s soccer team. Chest x-ray shows diffuse patchy interstitial infiltrates. This is the most likely organism?
What is Mycoplasma pneumoniae?
200
This can be caused by a septic embolism. (Slide 3)
What is Lung abscess?
200
This organism is most prominent in the Ohio and Mississippi River Valleys. It is inhaled from bat or chicken feces.
What is Histoplasmosis capsulatum.
200
The skin lesions of this broad based budding yeast can cause this type of cancer.
What is Squamous cell carcinoma.
300
This organism causes pneumonia in newborns.
What is Chlamydia pneumoniae?
300
A 45 year-old male with HIV and a CD4 count <200 comes in complaining of dyspnea, fever. This is the mechanism behind the organism's infection.
What is attaching to Type I pneumocytes (Pneumocystis jirovecii)?
300
This is the disease. (Slide 1)
What is Lobar pneumonia (Typical CAP)?
300
This organism causes Valley Fever and presents with flu-like symptoms.
What is Coccidiodes nodosum.
300
This organism, which causes atypical pneumonia can also cause cold autoimmune hemolytic anemia.
What is mycoplasma pneumoniae?
400
This gram positive organism can cause pneumatoceles, and can be co-infected with influenza pneumoniae.
What is Staphylococcus aureus?
400
A 40-year-old male with no past medical history presents to the emergency department with a 3-day history of fevers, chills, and cough. He states that he just returned from Ohio, where he was visiting family. He is admitted to the hospital and started on intravenous antibiotics, but after 2 days he has no improvement. A bronchoscopy is performed and cultures reveal an organism with broad-based budding.
What is Coccidioides immitus?
400
This is a calcified nodule involving caseous necrosis. (slide 4)
What is Ghon complex of tuberculosis?
400
This organism is most prominent in Dairy farmers and veterinarians (especially during the birthing of infected sheep and cattle).
What is Coxiella burnetti?
400
This bacteria can commonly cause Reye's Syndrome in children when Asprin is given.
What is Invluenzavirus.
500
This strict anaerobe is found in sulfur granules.
What is Actinomyces israelii?
500
A 28-year-old female with a history of HIV presents to the emergency room with complaining of a one day history of chest tightness and shortness of breath. She also states that this morning she coughed up some bloody sputum. She is from Missouri and is vacationing in the area with family. A chest radiograph is performed and demonstrates hilar lymphadenopathy. She is admitted to the hospital and a bronchoscopy is performed. The sputum cultures from the bronchoscopy reveal a large, round single-celled organism.
What is Histoplasma capsulatum?
500
A patient comes in with fever, drenching night sweats. This is what the pathologist finds post mortem.
What is secondary tuberculosis?
500
The population that most commonly acquires this disease are adolescents and military personnel. (Pathogen?)
What is Atypical CAP, Mycoplasma pneumoniae.
500
If a cystic fibrosis patient was infected with this bacterium, it would most likely be the cause of death.
What is Pseudomonas aeruginosa.