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Case Study: A female patient was admitted to her city hospital with a high fever (>103oF) and urinary tract infections (UTI). A blood sample and lab culture analysis also revealed a blood infection (bacteremia). The physician on call suspected the most common UTI pathogen, Gram-negative bacteria, and immediately started the patient on methicillin treatment. The patient was discharged after two days when she showed signs of recovery and no fever. A week later, the patient returned to the emergency ward with a very high fever. Upon testing, no UTI infection was detected. Further testing with blood culture revealed the presence of Gram-negative bacilli that matched the colony characteristics with the original blood culture sample. Kirby-Bauer antimicrobial susceptibility test on the second isolate showed resistance.
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