A 47-year old male presents in the clinic with a complaint of recurrent low-grade fevers, weight loss (about 20% of his body weight over a 6 month period), muscle and joint pains, episodes of profuse sweating, weakness and extreme fatigue (in spite of sleeping well at night he feels tired during the day).

A 47-year old male presents in the clinic with a complaint of recurrent low-grade fevers, weight loss (about 20% of his body weight over a 6 month period), muscle and joint pains, episodes of profuse sweating, weakness and extreme fatigue (in spite of sleeping well at night he feels tired during the day). He eats healthy, but lately, he has no appetite.  He disregarded all these symptoms and thought he was just getting old, but then a week ago he noticed his testicles got swollen, right then he knew it was time to see a doctor.

The patient report to be married, he said he has always been faithful to his wife and know his wife is also faithful to him, they are church people, they have 5 kids, they do not drink or smoke. He is a cattle rancher and usually does the slaughtering himself. Cattle’s blood and other body fluids often splash in his face, arms and hands. He had rheumatic fever as a child. He had all the usual childhood immunizations. He reports feeling good prior to the past 5 months.

On physical examination, the patient has a temperature of 101F. He has swollen lymph nodes in the neck and under the arms, and swollen testicles and scrotum. Physical examination shows he has blood pressure of 136/86, and a normal heart rate without a heart murmur. There is no evidence of acute respiratory or gastrointestinal infection.

What would be your diagnosis for this patient, name the disease? (2 points) How did you       arrive to this conclusion?  (2 points)

What type of microorganisms cause this disease? Give the genus name, only  (4 points)

How should this case be treated? (1 point)

What could have been done to prevent this condition? (1 point)