s,MOSPA

THE OXFORD MEDICAL COLLEGE, HOSPITAL & RESEARCH CENTER

DEPARTMENT OF MICROBIOLOGY

CASE:
A 8 year old child was brought to pediatric OPD with H/O fever, and vesicular
rashes all over the body and also gave history of few other children having same
lesions in school. On examination generalized diffuse bilateral vesicular lesions
were seen. The
laboratory test revealed the findings given in fig.2
Fig 1 Fig 2

a. what is the clinical condition.

b. Identify and describe the finding in fig.2

c. What are the other laboratory tests to diagnose the above condition.

d. write a note on treatment.

CASE-XXII
A 35 year old adult with H/0 painful vesicular lesions on lip, fever,
similar lesions in the past associated with fever comes to medicine
OPD.

Tzanck smear

CAM CPE on cell line

 condition and the causative agent.
Name the clinical
A) the s m e a r
Namethe probable sample used tor preparing
B)
obervation of the Tzanck smear
Write the microscopic
C)
on CAM
D) Describe the growth
the organism on the cell line
E) Describe the growth of
 THE OXFORD
MEDICAL COLLEGE, HOSPITAL & RESEARCH CENTER
DEPARTMENT OF MICROBIOLOGY

CASE:
A 12 year child with multiple
OPD. On examination painless lesions on the face (Fig 1) comes to skin
of the lesion revealed
waxy, papular lesions with umbilications were seen. Biopsy
structures in fig 2.
Fig 1
Fig 2

a. what is the clinical condition.

b. Identify and describe the finding in fig.2

c. what are inclusion bodies?

d. Classify inclusion bodies with examples.

 RESEARCH CENTER
THE OXFORD MEDICAL COLLEGE, HOSPITAL &

DEPARTMENT OF MICROBIOLOGY

CASE:
and
A five year old child comes to pediatric OPD with H/O diarrhea, vomiting
mild fever of 2 days duration. The electron microscopy revealed the finding in fig

fig 1

condition?
a. What is the clinical

causative agent in fig 1.

b. Identify the
tests to diagnose the clinical condition.
c.What are the other laboratory
measures.
d. Write the preventive
 THE OXFORD MEDICAL COLLEGE, HOSPITAL & RESEARCH CENTER

DEPARTMENT OF MICROBIOLOGY

CASE
A 25 year male presented to medicine OPD with H/O high grade fever, headache,
severe joint pains, myalgia. O/E was found to have petechial rashes over the body,
and a low platelet count of 30,000/cmm. The laboratory investigation was done
and the findings are shown in the figure 1:

Fig 1

a. Name the clinical condition.

b. Identify the test in the fig.1

condition
c. Name the other laboratory tests for this
 THE OXFORD MEDICAL cOLLEGE, HoSPITAL & RESEARCH CENTER

DEPARTMENT OF MICROBIOLOGY

CASE
A 40year old with H/O multiple sex partners presents to OPD with
fever, progressive loss of weight, unexplained
persistent diarrhea since 6 months. O/E there was
generalized lymphadenopathy. The laboratory
findings are shown in the figure 1:
investigation was done and the
Fig 1

a. Name the clinical condition.

b. Identify the test in the fig. 1

c. Name the other laboratory tests for this condition

d. How will you prevent the transmission for this infection.
 THE OXFORD MEDICAL cOLLEGE, HOSPITAL & RESEARCH CENTER

DEPARTMENT OF MICROBIOLoGY

CASE:
A 40 year old male
presented to medicine OPD with H/O loss of appetite, malaise
and jaundice of 2 months duration. O/E there was icterus, hepatomegaly and
tenderness in the right hypochondriac region. He also gave H/O having contact
with a sexual worker. On laboratory examination he was found to be positive for
HBsAg.
Fig 1

a. Name the clinical condition.

b. Identify the type oftest in the fig-1

c. Name the other laboratory tests for this condition

d. How will you prevent the transmission for this infection.

 CENTER
HOSPITAL & RESEARCH
THE OXFORD MEDICAL COLLEGE,

DEPARTMENT OF MICROBIOLOGY

CASE:

A 15 yr old child comes to the hospital with history of dog bite. Microscopic
examination of the brain reveals fig 1

Fig 1

a. what is the clinical condition.

b. Identify and describe the finding in fig.1

c. what are inclusion bodies?

d. Classify inclusion bodies with examples.

Case XXVN
A 10 years old child comes to pediatric OPD with H/O fever, cough,
rashes. No H/O of immunization. O/E maculopapular lesions from head
to trunk, limbs, no lesions on palm and soles. White lesions on buccal
mucosa opposite to first molar seen.

Maculopapular lesions

Lesions on buccal
mucosa

Biopsy of lesion CPE on cell line culture

a) Describe the lesions in the buccal
mucosa.
b) Name the clinical condition.
c)Describe the findings in the biopsy
d) Describe the of the lesion
growth in the cell line