A 7-year-old boy is brought to the pediatrician with lesions under his lips as shown in the attached image. Parents report that the lesions developed over the course of a week. On physical examination, his temperature is 37°C, pulse rate is 80/min, blood pressure is 110/80 mmHg, and respiratory rate is 20/min. A culture of the sample from the lesion yields Gram-positive, catalase-negative, cocci. Which of the following is the most likely pathogen? Answers A-E A Candida albicans B Coxsackie A virus C Herpes simplex 1 D Staphylococcus aureus E Streptococcus pyogenes O O Question # 33 attachment CLOSE TOOLKIT O
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- A 7-year-old child was brought to the emergency room because of fever and a prolonged episode of forceful, dry hacking cough with a distinct inspiratory whoop. The patient has no history of immunization. What is the most probable diagnosis? What is the most probable causative agent and its characteristics? What specimen is used for culturing the organism? What culture medium of choice is used?Write the most likely causative microorganism and disease of the following cases and explain sign, symptoms and control measures. Your patient is a 20-year-old woman with the sudden onset of fever to 40 0C and a severe headache. Physical examination reveals nuchal rigidity. You suspect meningitis and do a spinal tap. Gram stain of the spinal fluid reveals many neutrophils and many gram-negative diplococci. A 25-year-old woman with itching, burning at vulva and abnormal white vaginal discharge. Yeasts was observed by microscopic examination of vaginal secretions. Meningitidis developed in the newborn baby within 5 days after birth. While the mother of baby was pregnant, she was consuming unpasteurized milk products . A male patient has a wound infection with blue-greenish colored pus and special smell. This bacteria is gram negative, rod shaped and non- fermentative. A 70-year-old woman presented after 3 days of enduring painful blisters only on the right side of her…An 18-year-old male went to the emergency room after experiencing intense and sudden headaches, vomiting, diarrhea, stiff neck, achy joints, and a skin rash. He was quarantined after telling his physician that he had recently taken care of a dead relative who suffered the same symptoms. The laboratory results are as follows: Direct Microscopic Examination: Diplococci that are pink after G/S SBA: medium-sized, gray, and convex that is mucoid Carbohydrate utilization test: Glucose (+); Lactose (-); Maltose (+) Platelet count: 7,000/uL Prothrombin time: 20 seconds Partial thromboplastin time: 38 seconds Fibrinogen level: 100 mg/dL D-dimer: 20,000 ng/mL QUESTION: What do you think is the medical condition of the patient? Justify
- An 18-year-old male went to the emergency room after experiencing intense and sudden headaches, vomiting, diarrhea, stiff neck, achy joints, and a skin rash. He was quarantined after telling his physician that he had recently taken care of a dead relative who suffered the same symptoms. The laboratory results are as follows: Direct Microscopic Examination: Diplococci that are pink after G/S SBA: medium-sized, gray, and convex that is mucoid Carbohydrate utilization test: Glucose (+); Lactose (-); Maltose (+) Platelet count: 7,000/uL Prothrombin time: 20 seconds Partial thromboplastin time: 38 seconds Fibrinogen level: 100 mg/dL D-dimer: 20,000 ng/mL 1. What do you think is the medical condition of the patient? Justify your answer.A 52-year-old woman presents with a localized swelling and purulent abscess in her right hand and enlarged lymph nodes in her axial region (under the armpit). She sustained a small puncture wound while replanting rose bushes 1 week earlier. She has repeatedly cleaned and dressed the wound with antibiotic treatment with no success. The physician collects an aspirate from the abscess, Gram stain reveals Gram-positive cocci in clusters. Laboratory data follow: Catalase: Positive Coagulase: Latex positive What culture media would be appropriate for culture and identification of the suspected isolate? Why?A 52-year-old woman presents with a localized swelling and purulent abscess in her right hand and enlarged lymph nodes in her axial region (under the armpit). She sustained a small puncture wound while replanting rose bushes 1 week earlier. She has repeatedly cleaned and dressed the wound with antibiotic treatment with no success. The physician collects an aspirate from the abscess, Gram stain reveals Gram-positive cocci in clusters. Laboratory data follow: Catalase: Positive Coagulase: Latex positive What culture media would be appropriate for culture and identification of the suspected isolate? Why? BBL, MSA What antibiotics would be used to treat this infection? Could there be any treatment problems with this isolate?
- Patient TM is 65 years of age and was recently given a 13C-Urea breath test due to recent gastrointestinal discomfort. What type of bacterial infection is patient TM suspected to have contracted? Give a rationale for the diagnostic test performed and comment on when this test may produce a false negative result.An outbreak of Methicillin-resistant Staphylococcus aureus (MRSA) in the surgical ward at the hospital forces the hospital administrator to cancel and postpone all non-essential surgeries until the source of infection has been located and for measure put into place. Bacterial samples obtained from swab of wad staff equipment and surfaces arr brought to the lab for analysis. 1. What testing method will you employ to determine the level of exposure? 2 How would a positive test present? 3. How would a negative test present? 4. What recommendations would you make in your report?Table of Staphylococcus aureus and it should contain the following details. Clinical infections/ Diseases Virulence Factors and their mechanism of action. Microscopic morphology Cultural morphology Laboratory Diagnosis
- A 78-year-old man is brought to the emergency department. For the last several days he has had fatigue, malaise, fever, and a productive cough. A chest radiograph shows consolidation in the right lower lobe. A Gram stain of the sputum shows a predominance of gram-positive cocci in pairs and chains. What is the most likely diagnosis? What is the likely prognosis for this patient?A 31-year-old female presents with fever, intermittent severe pain in the left upper quadrant of her abdomen, and painful lesions involving her fingers. History reveals that she had intermittent mild pain in the left upper quadrant of her abdomen over the last few months and reveals that she had acute rheumatic fever as a child. At the present time one of three blood cultures submitted to the hospital lab grows out a particular organism. What is the most likely causative agent? a. Streptococcus Pyogens. b. Streptococcus pneumonia. c. Staphylococcus epidermidis. d. Viridans streptococci.Which of the following tests can be used to distinguish between group D streptococcus and other streptococcus bacteria? Mannitol Salt agar Coagulase test McConkey agar Bile eschulin agar Simmon's Citrate agar