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Barbara Aumiller T/Th 4-520

Janet . has symptoms of red inflamed skin around the ankle. It is hot and tender to the touch. Later, she has night sweats, she is shivering, has pale skin and red rashes on her legs. These symptoms suggest she has an arthropodborne bacterial disease. One possibility would be Rocky Mountain Spotted Fever. This is transmitted through a bite of an infected tick. Janet was in northern Michigan where ticks can be found. And around the house are bushes and a flower border overgrown with weeds. Ticks may live in the weeds. Symptoms that Janet showed that related to the Rocky Mountain Spotted Fever are blotches of a red skin rash and her chills. If Janet was having sweats, she would have to have a fever to produce those sweats. Fever is another symptom of this disease. The symptoms also had a quick onset. It didn’t take long after she had gotten the insect bite that she started to have signs of an infection, it was on day 2. And in the Rocky Mountain Spotted Fever incubation period is only 2-7 days. Another possibility is she could have attained the disease Erysipelas. This is transmitted through minor cuts or scrapes in the skin. It could have come from one of her friends that may have had Eczema. Her and her friends were lying around on a tiny porch close together out in the sun. The bite from the insect could have been the opening for the infection to take place. Symptoms of Erysipelas are fever,

Cellulitis is very common in people that have weakened immune systems or compromised immune systems. Janet had shown symptoms of fever through the night sweats she was having and chills from the shivering her body was doing. So Janet had an infection in her body already when the cellulitis organism had infected it. chills. Cellulitis is a staph infection in the deeper layers of the skin. chills and fiery rash on lower limbs and face. The dermis layer. which meant that an opportunistic infection took place in Janet when her immune system was combating another more virulent disease. These symptoms are closely related to what Janet was showing. This lead to the disease producing the symptoms in Janet. She also had a rash starting on her legs which would be her lower limbs. Or Janet could have had an autoimmune disease where her immune system was destroying her own cells and this could have allowed another disease to come in and take control. This allowed the cellulitis to overcome the immune system and start replicating. As the infection spreads the person will develop a fever. When the paramedic wrote down that Janet was secondary to cellulitis. swelling and maybe pain. . Thus allowing cellulitis to spread and contaminate so quickly. It will have signs of inflammation. sweats and swelling in the area. warmth. It usually begins in an area with an open sore or wound. such as redness.Barbara Aumiller T/Th 4-520 shaking.

This disease causes fever and a skin rash. This also has a short incubation period allowing the body to quickly try to get rid of it. Janet after almost 48 hours had a fever. This disease can come from an infected tick biting the person and injecting the bacteria into the wound. shaking. Rickettsia would be my second choice for the most common infections she may have. They were in northern Michigan around a lake with overgrown plants around the house. It is caused by trauma to the skin resulting in an open wound with direct contact of an infected insect or individual. Thus the quick onset of signs and symptoms. Borrelia infections show signs of fever and chills.Barbara Aumiller T/Th 4-520 Many organisms could be contributing to Janet’s condition. But I think the three most common ones would be Staphylococcus. This disease affects the lower half of the body more than the upper half thus resulting in the rash on her legs. . chills.pyogenes. Another common infection Janet may have would be the Borrelia disease. Both of which Janet showed signs of. rash and swelling at the infection site. It could also come from scratching the bites from lice. This disease comes from infected ticks or fleas biting a person and infecting the open wound. headache and sweating. chills and sweats. Staphylococcus would more commonly be S. showing that this was a fast acting disease with a short incubation period. This disease causes fever. Her immune system reacted very suddenly. Rickettsia and Borrelia.

This will see if her white blood cell count is high meaning there is an infection present in her body. This would have resulted in having her immune system compromised and being overcome by the second infection. That would be there first initial treatment for Janet. . If it is green or yellow then there is a bacterial infection in her body. Such as a CBC test to check her neutrophils. Thus leading to the paramedic believing she was secondary to cellulitis. They may also do a sputum test. the doctors more than likely will give Janet an antibiotic of some sort to clear out the bacterial infection.Barbara Aumiller T/Th 4-520 Her immune system could have been trying to destroy any of these three diseases when she could have contracted the cellulitis disease. This test checks to see if there is blood in the sputum meaning there is an infection. In order to see if their treatment will be effective they will have to run some tests on her. In the emergency room. It also checks the color of the sputum. To check to find out what certain bacteria is infecting the body they would do a blood culture. This would determine the type of bacteria it is and what kind of antibiotic is effective against it.