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Case Study
A 46-year-old male welder from central Louisiana was healthy until 5 days before admission, when he experienced chest pain, cough, congestion, chills and fever. The symptoms had resolved but he experienced a bout of hemoptysis and was referred to the emergency department by his local physician. Oxygen therapy was started and the patient was placed on ciprofloxacin and cefoxatime. Shortly thereafter, the patient vomited coffee-colored emeisis and had a cardio- respiratory arrest. Aerobic blood cultures were positive the next day for large gram-positive bacilli that possessed oval central to subterminal spores. Growth on the blood agar plate resembled a "Medusa head" (see image).
Question 1 The spore-forming bacteria grew well aerobically. What characteristics of the colony would be useful in identifying the bacterium to the species level?
Question 2. What tests can be done to confirm identification.
Question 3. What is the organism identification and what precautions must be taken when working with this isolate?
Consultation is a strategy to seek the () of a specialist provider or educator to address problems in patient management or implementation of treatments.
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