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Case #2 Clinical History: This 29-year-old male's illness began 10 weeks prior to death, with an episode of "flu". Two weeks later his urine became "smoky". He was found to have hematuria, albuminuria and elevated BUN (180 mg/dl). He died from a pulmonary embolus. The throat culture obtained exhibited gram positive cocci in chains. It also showed beta- hemolysis on sheep blood agar (SBA) and was catalase negative. 1. What was the most likely organism? A. Streptococcus pyogenes B. Streptococcus viridans C. Staphylococcus aureus D. Streptococcus pneumonia 2. What is the BEST diagnosis at the time of death? 3. What are the other possible sequela of this infection?

Case #2 Clinical History: This 29-year-old male's illness began 10 weeks prior to death, with an episode of "flu". Two weeks later his urine became "smoky". He was found to have hematuria, albuminuria and elevated BUN (180 mg/dl). He died from a pulmonary embolus. The throat culture obtained exhibited gram positive cocci in chains. It also showed beta- hemolysis on sheep blood agar (SBA) and was catalase negative. 1. What was the most likely organism? A. Streptococcus pyogenes B. Streptococcus viridans C. Staphylococcus aureus D. Streptococcus pneumonia 2. What is the BEST diagnosis at the time of death? 3. What are the other possible sequela of this infection?

Essentials of Pharmacology for Health Professions
Essentials of Pharmacology for Health Professions
7th Edition
ISBN:9781305441620
Author:WOODROW
Publisher:WOODROW
Chapter17: Anti-infective Drugs
Section: Chapter Questions
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Case #2 Clinical History: This 29-year-old male's illness began 10 weeks prior to death, with an episode of "flu". Two weeks later his urine became "smoky". He was found to have hematuria, albuminuria and elevated BUN (180 mg/dl). He died from a pulmonary embolus. The throat culture obtained exhibited gram positive cocci in chains. It also showed beta- hemolysis on sheep blood agar (SBA) and was catalase negative. 1. What was the most likely organism? A. Streptococcus pyogenes B. Streptococcus viridans C. Staphylococcus aureus D. Streptococcus pneumonia 2. What is the BEST diagnosis at the time of death? 3. What are the other possible sequela of this infection?
Transcribed Image Text:Case #2 Clinical History: This 29-year-old male's illness began 10 weeks prior to death, with an episode of "flu". Two weeks later his urine became "smoky". He was found to have hematuria, albuminuria and elevated BUN (180 mg/dl). He died from a pulmonary embolus. The throat culture obtained exhibited gram positive cocci in chains. It also showed beta- hemolysis on sheep blood agar (SBA) and was catalase negative. 1. What was the most likely organism? A. Streptococcus pyogenes B. Streptococcus viridans C. Staphylococcus aureus D. Streptococcus pneumonia 2. What is the BEST diagnosis at the time of death? 3. What are the other possible sequela of this infection?
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