Name: Gareth Walker

Theme: Zoonoses

OPTION LIST

A	Amoebiasis	I	Kala-azar
B	Anthrax	J	Leptospirosis
C	Bartonellosis	K	Monkey Pox
D	Chagas’ disease	L	Mucocutaneous leishmaniasis
E	Dengue fever	M	Orf
F	Fascoliasis	N	Salmonella
G	Giardiasis	O	Tularemia
H	Glanders	P	Rabies

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 44 year old fudge salesman man went on holiday recently to a sheep farm in Devon. Since then he has developed 1-2 cm reddish papules with a surrounding erythema on his hands.

2. Five days previously a 23 year old female has returned to rainy old England from Thailand. She has had an abrupt onset of fever, malaise, facial flushing and a retrobulbar pain which is made worse on eye movement, severe back ache and a lymphadenopathy.

3. A 30 year old man is out walking in a European forest when he is attacked from behind a bush by a fox which bites his head. He is fine for the next two months but then starts to develop tingling and pain around the around the wound area as well as a fever. After 9 days he has developed anxiety and is experiencing auditory hallucinations. He also has a fear of air and water.

4. Whilst working in Northwick Park hospital you encounter a 40 year old man who has recently just returned from Southern Africa. He presents with bloody diarrhoea, tenesmus and abdo pain, but despite these problems tells you that he has had a wonderful holiday and that the food was “to die for”. On examination of his fresh stool under a microscope you see motile trophozoites containing red blood cells.

5. Whilst on elective in Africa you encounter many people who are experiencing a low grade fever. On examination they tend to have splenomegaly, hepatomegaly and lymphadenopathy. Their skin is also rough and pigmented. A bone marrow aspirate smear shows L.donovani species.

ANSWERS

1. Orf

2. Dengue Fever

3. Rabies

4.Amoebiasis

5. Kala-azar