Case Study 3: Answer the following questions based upon the…
Case Study 3: Answer the following questions based upon the following clinical microbiology report: DATE: 10/25/2008 21:22:13 bioMerieux Vitek 2 Lab Report PATIENT NAME: HARRIET MORGAN PATIENT ID00000000 SEX: F DOB: 01/01/1931 AGE: 81Y ROUTINE CULTURE SPECIMEN: URINE COLONY COUNT= >100,000 CFU/ML ISOLATE: STAPHYLOCOCCUS AUREUS SUSCEPTIBILITY TEST DRUG MIC(mcg/ml) INTERPRETATION ROUTE/DOSAGE AMPICILLIN >=16 R PO/IV250-500MGQ6H CIPROFLOXACIN >=4 R IM/IV0.5-1.0GMQ8H ERYTHROMYCIN >=8 R PO250-500MGQ6H GENTAMICIN =8 R PO400MGQ12H PENICILLIN G >=16 R IV2.0-3.0GMQ4-6H RIFAMPIN
Read DetailsA 4-year-old was bitten on her hand by her pet cat. Two days…
A 4-year-old was bitten on her hand by her pet cat. Two days later, the bite area was swollen and had some drainage. A Gram’s stain of the pus revealed small gram-negative coccobacilli. The most likely identity of this organism is:
Read DetailsCase Study 2: This 63-year-old alcoholic was taken to the e…
Case Study 2: This 63-year-old alcoholic was taken to the emergency room of an outside hospital with obvious gangrene of both feet. He was stuporous. During that evening, he had a seizure and was treated with phenytoin and barbiturates. By the night of transfer he was noted to have opisthotonic posturing and to have developed increasing respiratory distress and unresponsiveness. On examination, he had a temperature of 41.7°C rectally, a blood pressure of 70/30 mmHg, a heart rate of 110 beats/min, and a respiratory rate of 40/min. Examination was notable for marked trismus. The neck was stiff and hyperextended. Necrotic, blackened areas were present over both feet and several draining ulcers were noted on the heels and toes. Neurologically the patient responded to deep pain with a grimace. On the basis of these findings, specific therapy, in addition to supportive care, was initiated, and the patient ultimately recovered. Case Study 2.3: What was the specific therapy used to treat this secondary infection?
Read DetailsCase Study 2: An 85-year-old male is admitted to the emerg…
Case Study 2: An 85-year-old male is admitted to the emergency room of a New York City hospital suffering from breathing difficulties and coughing. He had a high fever, cough, and chest pain. He had presented to his local physician 3 days previously complaining of fever, headache, malaise, and vague respiratory symptoms. A year ago he moved into a long-term care facility after his wife died and he has been suffering from Type 2 diabetes for the last thirty years. They collected sputum for culture and sensitivity. A gram stain indicated the presence of many white blood cells and pleomorphic gram-negative coccobacilli. An additional urine specimen was then collected and sent to a reference laboratory to confirm the diagnosis. Case Study 2 Question 1: What was the most likely etiologic agent of infection in this patient?
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