Microbiology

For each of the following patients, select the most likely infectious disease complication:

1. A 31-year-old woman has a mosquito bite. She develops intermittent fevers and chills:

2. A 45-year-old man has a worsening headache with nuchal rigidity. A lumbar puncture is performed and the WBC count is 219/microliter with 50% neutrophils and 50% mononuclears, with glucose of 70 mg/dL and protein of 55 mg/dL. Cryptococcal antigen is detected:

3. A 22-year-old man who engages in prostitution notes a 0.7 cm rounded lesion on his glans penis:

4. A 38-year-old man eats uncooked pork and then develops severe myalgias. A CBC shows Hgb 13.9 g/dL, Hct 42.2%, MCV 90 fL, platelet count 269,000/microliter, and WBC count 13,300/microliter with differential count of 59 segs, 4 bands, 21 lymphs 7 monos, and 9 eosinophils. His serum creatine kinase is 787 U/L:

5. Father Damien cares for patients with nodular skin lesions and progressive deformity of face and hands who have been banished to the Kalaupapa peninsula on the the island of Molokai in the 19th century:

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A. Botulism B. Bubonic plague C. Chagas disease D. Diptheria E. Elephantiasis
F. Encephalitis G. Hard chancre H. Hydatid disease I. Leprosy J. Lyme disease
K. Malaria L. Meningitis, acute M. Oral thrush N. Ringworm O. Scarlet fever
P. Trachoma Q. Trichinosis R. Tuberculosis S. Typhoid fever T. Whooping cough
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