malinda
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An active intravenous drug abuser presents to the emergency department with fever of 5 days' duration, a cough
occasionally productive of blood, and pleuritic chest pain. Petechiae are present in his mouth and conjunctivae,
and splinter hemorrhages are visible under the fingernails. Which of the following test results would most likely
confirm the identity of the causative agent?
A. Antibodies to p24 capsid antigen
B. Antibodies to Trichinella spiralis antigen
C. Blood culture of a catalase-positive, novobiocin-sensitive, gram-positive coccus
D. Blood culture of a coagulase-positive, catalase positive, gram-positive coccus
E. Blood culture of a gamma-hemolytic, gram-positive coccus on bile-esculin agar
F. Blood culture of an alpha-hemolytic, optochin-resistant, gram-positive coccus
G. Blood culture of an alpha-hemolytic, optochin-sensitive, gram-positive coccus
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| Doc2378
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D. Staph Aureus ?
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| malinda
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yup.can U diagnose the disease plz?
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| skyhigh
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is it G, staph aureus
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| skyhigh
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D, agree
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| Doc2378
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Its Acute Bacterial Endocarditis due to Staph Aureus, likely affecting the tricuspid valve with vegetations
leading to
a. Septic Emboli (couging of blood and pleuritic chest pain)
b. vessel inflammation (Petechiae and Hemmorhage)
Hint was acute onset and IV drug abuser
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| malinda
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thanx
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| Doc2378
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Good question Malinda..
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