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William’s Misadventure

A Cautionary Tale of Zoonosis Told Through Differential Diagnosis

By Wendy A. Dustman, Sharon King-Keller, Alexandra M. Kurtz, Rebekah J. Ward

William’s Misadventure


 

Abstract

This case study presents an example of the progression of disease involving a deadly pathogen. The narrative follows an undergraduate student who interns for a wolf recovery program. During his internship, he finds and interacts with the den of a deceased new mother wolf and her two distressed newborn pups, and soon thereafter falls ill. The case is designed to help students understand microbiological properties of various disease pathogens, their potential impacts on human health, and their wildlife reservoirs. Students develop critical reading and thinking skills as they work through a process of differential diagnosis and defend their rationale for considering various disease pathogens. Students also consider that pathogens may have more than one transmission route or portal of entry, manifesting in different forms of disease caused by the same pathogen. The case is intended for use in a majors’ microbiology course or a medical microbiology or infectious diseases class in a pharmacy, medical, dental, or nursing school.

   

Date Posted

04/07/2025

Overview

Objectives

  • Evaluate the presentation of symptoms and factors to determine the cause of an unknown disease.
  • Apply previous microbiological knowledge to diagnose the main protagonist’s disease.
  • Describe and apply appropriate interpretation of diagnostic tests to confirm diagnosis.
  • Identify the signs and symptoms that distinguish the three forms of the plague.
  • Compare and contrast therapeutic options and understand the potential side effects of the drugs.
  • Identify and discuss the procedures required when interacting with individuals potentially infected with Yersinia pestis.
  • Explain the importance of reservoirs and zoonosis in disease transmission.
  • Create an educational tool highlighting disease diagnosis, transmission, treatment, and prevention.

Keywords

Plague; Yersinia; Y. pestis; pneumonia; wildlife; infectious disease; carrier; reservoir; zoonosis; transmission route; wolf

  

Subject Headings

Biology (General)
Environmental Science
Epidemiology
Medicine (General)
Microbiology
Public Health
Veterinary Science
Wildlife Management

EDUCATIONAL LEVEL

Undergraduate lower division, Undergraduate upper division

  

FORMAT

PDF

   

TOPICAL AREAS

Ethics

   

LANGUAGE

English

   

TYPE/METHODS

Interrupted

 

 

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