QuestionSBA
QuestionChoice
This is a common opportunistic virus that healthcare teams need to be aware of concerning immunosuppressed individuals. As the patient has had a renal transplant, he will have been placed on immunosuppressive medications e.g., steroids and as a result be more susceptible to opportunistic microbes.
10025720
a
Cytomegalovirus
QuestionChoice
Norovirus is associated with vomiting and diarrhoea. It is one of the most common causes of gastroenteritis in the United Kingdom. It is not the best first for the clinical picture described above.
10025724
e
Norovirus
QuestionChoice
This is the bacterium responsible for causing chancroid and is sexually transmitted. Typical symptoms include painful blistering lesions on the skin of the genitals and painful raised lymph glands.
10025723
d
Haemophilus ducreyi
QuestionChoice
This is the bacterium responsible for causing syphilis and is associated with sexual transmission. Typical symptoms normally include solitary painless lesions within 90 days of being infected before the disease progresses to form maculopapular symmetrical rashes on the palms, legs, soles and face.
10025722
c
Treponema Pallidum
QuestionChoice
Entamoeba histolytica is a parasitic organism, more common in tropical areas. Typical symptoms include bloody diarrhoea and abdominal pain, which this patient does not have.
10025721
b
Entamoeba histolytica
Concept
Chapter
2693
5859
Renal transplant
Topic
142
Nephrology
17542
A 45 year old man attends his GP surgery with a 12 hour history of feeling generally unwell with fevers and extreme fatigue. He denies any diarrhoea or abdominal pain, and reports no rashes or skin changes.

The patient is two months into his recovery from a renal transplant, that he received due to end-stage kidney disease. The operation went well with no complications, and no evidence of transplant rejection thus far. He has been fully compliant with all immunosuppressive medications that he has been prescribed following his transplant. He is not currently sexually active and does not smoke or drink alcohol. He has not left the UK for the past 5 years.

Which of the following is the most likely underlying microbiological cause of this patient's symptoms?
a