Thursday, 24 December 2015

COMEDK MDS entrance preparations | Blood Culture showing gram positive bacteria


A patient is in the ICS and his blood culture shows gram positive bacteria which is catlase positive and coagulase negative. The most likely agent is 

a. Staphylococcus 
b. Staphylococcus epidermidis
c. Stereptococcus pyogenes 
d. Enterpcpccus faecatis

         Correct Ans  B

Staphylococci are gram positive cocci. Based on the coagulase test they can be classified as coagulase positive –staphylococcus auresus and coagulase negative-staphylococcus saprophyticus and epidermidis. Culture of staphylococcus aureus on Blood agar shows βnaemolytic colories are seen on Nutrient agar. Staphylococcus aureus ferments mannitol gives a positive urese test. Infection caused by staphylococcus aureus are carbuncles, furuncles, folliculate, meningitis, UTI, pneumonia, osteo myelitis, food poisoning , Toxicshock syndrome.
Methicillin resistant staphylococcus  aureus strains can be acquired from the hospital , same may also be acquired as community infections. 

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