Question

A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis. Be sure that you are addressing the following points within the body of your paper: Evaluate cellular processes and alterations within cellular processes Analyze alterations in the immune system that result in disease processes Identify racial/ethnic variables that may impact physiological functioning Evaluate the impact of patient characteristics on disorders and altered physiology?

Answer 1

answer: Patient name-

age-49yrs

occupation;Grain inspector

nursing diagnosis; fever ,chest pain assosiated with coughing

medical diagonosis-rheumatoid arthritis,hemoptysis,invasive aspergillosis

The patient suffering  with invasive aspergillosis .it occurs when the infection spreads rapidly from the lungs to thebrain,heart,kidney or skin. Invasive aspergillosis occurs only in people whose immune systems are weakened.If you go through his working enviornment we can easily realise that he is a person allerged with long term working dusty enviornment.invasiv aspergillosis is a world wide disease that primarly affects immune-compromised patient ,agricultural workers ,and the patient with structural lung disease,and primary immune deficiency.

Immune systems of person vary from country to country-racial/ethnic is different .It's a longbeen clear that people from different parts of the world differ in their susceptinbility to developing infection as well as chronic inflammatory and auto immune diseases.The immune response of the africans and europeans differed,especially in the case of genes involved in inflammatory and antiviral responses.These  difference can largely be attributed to genetic variants ,distributed differently among africans,europeans,asians.   

The prognosis of invasive aspergillosis patient has improved with tmold -active triazole,and with the advent of combination therapies with echinocandin drugs.