Case Study #2

” His mother decides to take him to the hospital right away. At the hospital, Jacob’s mom explains to you, the RN, that three days earlier they were on vacation at their seaside home near Cape Cod. While at their seaside home, Jacob and his older brother decided to do some landscaping and mow the grassy expanse.Jacob now has a fever of 103°F and you notice that his breathing becomes more labored as you are examining him. A few moments later, Jacob starts coughing up blood which indicates his condition is far worse than just a common cold or respiratory infection. You immediately order blood cultures, an arterial blood gas test, and obtain a chest X-ray. The X-ray shows nodular infiltrates with unilateral pleural effusion.As you are waiting for lab results, Jacobs respiratory status worsens and requires mechanical ventilation for airway support. Jacob is admitted to the PICU and administered intravenous broad-spectrum antibiotics. The physician on call tells Jacob’s mom that he has a serious infection in his blood and severe pneumonia.The blood cultures come back and reveal the followingHint: Coccobacilli Gram StainYou and the physician review the results and decide to switch Jacob to intramuscular gentamycin every 12 hours for one week. Within days, Jacob feels better; however, you still need to determine the causative agent of Jacobs illness. You ask Jacob questions about the day he and his brother mowed the lawn, and he recalls that they ran over the dried body of a rabbit. Given this information, you must act quickly to determine what bacterium infected Jacob.