Question

Roman is a 63 year old male with a history of alcoholism. He presents with a erythematous, shiny, raised, hardened but tender plaque on his left cheek and nose. The plaque has a distinct border. Romansays that he woke up two days ago feeling “a little off” and experienced chills throughout the day. The facial rash progressively worsened yesterday. His temperature is elevated (39°C or 102.2°F). A sample is collected from one of the lesions, however, no obviously pathogenic organisms grow in culture. Bloodwork reveals leukocytosis and an elevated erythrocyte sedimentation rate. Roman is allergic to penicillin and sulfonamides- he gets hives when taking either.

Which organism is infecting this patient? Explain your reasoning.

What is this disease called?

How would you treat it?

What is the prognosis of this disease?

Answer 1

1. The organism which infecting the disease is called Helicobater pylori, is an intestinal bacteria which triggers this
disease.

2. The disease is called Rosacea ,
( For Roman this kind of disease is caused due to taking alcohol beverages)

3.It can be treated by antibiotics, anti acne, vitamin A derivatives and also with topical antiseptic, if Roman has an allergic
to certain medication try with some alternatives.

Treatment include some self care activities such as using some skin lotion, moisturizer and the practice of light
therapy.

4. The prophylaxis include avoid drinking alcohol or alcohol containing beverages, keep the skin from direct exposure to
sunlight, routinely have a proper face wash and use some proper prescribed skin lotion.