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Kaplan Qbank USMLE



Author9 Posts
  #1

1.A 5y.o. Boy from africa develops recurrent follicular conjunctivitis. His father and uncle have had similar blindness which most likely occurred: adeno, herpes, strep,chlam trachomatis, n gonorrhea



  #2

chlam trachomatis?

  #3

chlamydia trachomatis

  #4

how would that be acquired by the other family members, father and uncle? why couldnt it e adenovirus? I picked chlam trachomatis because i know its a leading cause of blindness outside the u.s. but why do all those family members have it?

  #5

Pandemic maybe ?

___________________
... Idle hands are the DeVilS play ground ...

  #6

http://www.emedicine.com/oph/topic118.htm

This page has a lot of information. The family tends to reinfect each other thus leading to scarring and blindness.

___________________
Clinical Microbiology since 1974

  #7

It's chlam trachomatis

  #8

Chlamydia trachomatis

Disease transmission occurs primarily between children and the women who care for them. Some have characterized this transmission cycle by describing trachoma as a disease of the crèche (day nursery).

Repeated episodes of reinfection within the family cause chronic follicular or intense conjunctival inflammation (active trachoma), which leads to tarsal conjunctival scarring. The scarring distorts the upper tarsal plate and, in some individuals, leads to entropion and trichiasis (cicatricial trachoma). The end result includes corneal abrasions; corneal scarring and opacification; and, ultimately, blindness.



___________________
Great works are performed not by strength, but by perseverance.

  #9

corneal scarring leading to opacification causes blindness..anyway...
adeno doesnt cause blindness just a simple conjunctivitis..that goes away by itself although its also highly infectious and tends to stay in families ....leadin to development of the commonly used name epidemic keratoconjunctivitis...but blindness is usually not there due the primary infection ....may be due to bacterial co infection it might occur but this is USMLE...n we are finding for the most LIKELY possibility...arent we? :P







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