phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
|
A 51-year-old man received an orthotopic cardiac transplant a month ago. He has developed a fever with cough over the past 5 days. On physical examination his temperature is 37.7 C. A chest CT scan shows consolidation with abscess formation involving the left lower lobe. A sputum gram stain reveals normal upper respiratory tract flora. He does not respond to antibiotic therapy over the next 6 months. His mental status deteriorates and MR imaging of the brain shows multiple abscesses. He is most likely to have an infection with which of the following organisms?
A Mycoplasma pneumoniae
B Aspergillus fumigatus
C Mycobacterium avium-intracellulare
D Nocardia brasiliensis
E Cytomegalovirus
F Pneumocystis carinii
|
| mjl1717
Forum Hero
Topics: 955
Posts: 5,451
|
Nocardia?
___________________
Smell the coffee! "Is That an Osler move??"
|
| phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
|
Yeah, you got it
|
| mjl1717
Forum Hero
Topics: 955
Posts: 5,451
|
IF it was a solitary abscess you could think aspergillus
___________________
Smell the coffee! "Is That an Osler move??"
|
|
| |
| | | | |
