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Kaplan Qbank USMLE



Author6 Posts
  #1

A 45 year old man who takes street drugs by IV develops fever, cough, and hemoptysis. X-ray film of the chest shows bilateral infiltrates. Echocardiogram discloses a 1 cm mass that is attached to the tricuspid valve. Blood cultures grows yeast. The most likely causal organism is

a)aspergillus flavus
b)candida albicans
c)Cryptococcus neoformans
d)histoplasma capsulatum
e)mucor species



  #2

There is a lot of discussion on this under other headers.....

http://tinyurl.com/s484b

http://tinyurl.com/qt72n

http://tinyurl.com/rjudu

http://tinyurl.com/pch5s

http://tinyurl.com/qo6jc

http://tinyurl.com/oun73

You can search the archives under key words and find most of the questions have been posted before.













Edited by bactitech on 09/21/06 - 08:30 PM

___________________
Clinical Microbiology since 1974

  #3

its an nbme q. SORRY guys. i dont know. or else i would have surely labelled. really very sorry..

  #4

B...


  #5

In IV drug abusers probability of endocarditis is with descending order

Staph aureus = 50%

Sterpto coccus A = 15%

Gm -tive = 15% (among them pseudomonas is the most common)

Candida = 10%

So in the above mentioned organism Candida is the only candidate to be causitive organism of Endocarditis.

Secondly Candida is among the normal flora of skin but none of the other mentioned organisms.

Best of luck


___________________
FA is just a good revision book.It is not a "real" learning tool.

  #6

thanku leopard. interestingly there is no strep.viridans in the list..







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