Neurology: Case of the Month

Test Yourself — Patient 64

Klebsiella pneumoniae brain abscesses with purulent meningoencephalitis, in a Patas monkey (Erythrocebus patas)

1. What is thought to be the primary mode of transmission of Klebsiella pneumoniae infection in young primates?
   • [ A ] Fecal-oral transmission
   • [ B ] Transplacental transmission
   • [ C ] Inhalation of aerosolized organisms
   • [ D ] Ingestion of contaminated milk
2. Factors that may predispose a child to development of brain abscesses include WHICH of the following?
   • [ A ] Bacterial pneumonia
   • [ B ] Valvular heart disease
   • [ C ] Immunodeficiency
   • [ D ] All of the above
3. Diagnosis of brain abscesses usually can be made by relatively noninvasive methods such as blood culture.
   • [ A ] True
   • [ B ] False
4. In nonhuman primates, what is the most effective means of controlling premature death from Klebsiella pneumoniae infection?
   • [ A ] Intravenous antibiotics
   • [ B ] Quarantine
   • [ C ] Vaccination
   • [ D ] Prophylactic antibiotics
5. Compared to human brain, the brains of simians differ MOST with respect to:
   • [ A ] Underdevelopment of the frontal lobes
   • [ B ] Absence of the superior temporal gyrus
   • [ C ] Transposition of the motor cortex to locations posterior to the central sulcus
   • [ D ] Overdevelopment of the occipital lobes

 

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