Possible Answers

A. BK virus
B. Coxsackie virus
C. Hepatitis A
D. Hepatitis B
E. Hepatitis C
F. Human herpesvirus B
G. HTLV 1
H. EB virus
I. JC virus
J. Toxoplasma gondii

Instruction: For each of the following clinical history below ,select the microorganism
most likely to be implicated. Each option may be used once, more than once, or not at
all.

1. A 34 years old woman with enlarged cervical lymph nodes.CBC and film are
normal. Serology shows IgG antibodies to EBV but IgM antibodies are negative.
2. A 45 years old HIV-positive man presents to A&E department with blurred vision
and head ache and is found to have a left parietal mass.
3. A 54 years old man is admitted to the causality with severe abdominal pain. On
examination, he has splenomegaly. Full body CT scan confirms the presence of
massive splenomegaly and shows infarct, but there is no evidence of
lymhadenopathy.CBC shows lymphocytosis with villous lymphocytes.
4. A 38 year old man is post 42 days sibling stem cell allograft when he gradually
develops spastic paraperesis.Neurological examination confirms the presence of
increased tone in the upper and lower limbs and upgoing planter reflexes. Level
of consciousness is reduced.
5. A 34 years old man who is post stem cell transplant develops hematuria.
Cystoscopy excludes the presence of space occupying intravesical lesion and
shows mild inflammatory changes in the bladder wall.