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A 22-year-old woman comes to the office due to worsening cough. The patient has been coughing...

A 22-year-old woman comes to the office due to worsening cough. The patient has been coughing every day for the past several months, but over the last 4 weeks, the cough has worsened, with increased amounts of thick sputum and shortness of breath. Streaks of blood have been present in the sputum on several occasions. The patient also has a history of chronic sinusitis and repeated hospitalizations for airway infections. She takes pancreatic enzyme supplements for chronic diarrhea. She does not use tobacco, alcohol, or illicit drugs. Physical examination reveals nasal polyps, a barrel-shaped chest, bilateral coarse lung crackles, and digital clubbing. Chest x-ray shows hyperinflated lungs and dilated, thickened airways. The patient is diagnosed with cystic fibrosis.

Sputum culture from this patient is most likely to yield which of the following organisms?

Pseudomonas aeruginosa

Yersinia pestis

Yersinia enterocolitica

Bartonella henselae

Streptococcus pneumoniae

Staphylococcus aureus

Solutions

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:ANSWER

Staphylococcus Aureus

This patient's sputum culture will show the presents of Staphylococcus Aureus. Because Staphylococcus aureus and hemophilus influenza are commonly causing Cystic Fibrosis in adolescence. And also this patient have diagnosed with Cystic fibrosis.

Peudomonas aeruginosa

It is the micro organism which is causing the diseases such as

  • Urinary Tract Infections
  • Respiratory Infections
  • Dermatitis
  • Bone and Joint infections
  • Gastro intestinal infections

Yersinia Pestis

It is a gram negative,non motile anaerobic organism that can cause Plague.

Yersinia Enterocolitica

It is a gramnegative bacterium causes zoonotic diseases called Yersiniosis.It is manifested by

  • acute diarrhea
  • mesenteric adenitis
  • terminal ileitis
  • pseudoappendicitis.

Bartonella Henselae

It is a bacteria which is causing CSD or Cat Scratch Disease also called Cat feverWhich can be spread tohuman through the cat scratch or cat bites.

Streptococcus Pneumoniae

It is a gram negative bacteria causes pneumoniaWhich can spread from one person to another by inhailing or by the direct exposure to the bacteria through coughing and sneezing.

Nightingale answered 1 year ago
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