In the question says "Blood cultures grew gram-positive cocci in clusters" which made me think of Staph but the medical history madde me think of Strep. Now, I don´t know if it was a coinfection or what happened there
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7 May 2024
Streptococcus can be in clusters?
Question:
A 58-year-old male patient is admitted to the hospital with shortness of breath and fatigue. His past medical history is significant for a dental extraction procedure 2 weeks ago. On physical examination, a new heart murmur is audible. Echocardiography revealed vegetations on the aortic valve. Blood cultures grew gram-positive cocci in clusters. What is the most likely diagnosis?
Options:
A)Infective endocarditis due to Streptococcus viridans
B)Rheumatic fever due to Group A Strep
C)Infective endocarditis due to Streptococcus mutans
D)Infective endocarditis due to Staph aureus
E)Pericarditis due to Coxsackie virus
Streptococcus can be in clusters?
Question:
A 58-year-old male patient is admitted to the hospital with shortness of breath and fatigue. His past medical history is significant for a dental extraction procedure 2 weeks ago. On physical examination, a new heart murmur is audible. Echocardiography revealed vegetations on the aortic valve. Blood cultures grew gram-positive cocci in clusters. What is the most likely diagnosis?
Options:
A)Infective endocarditis due to Streptococcus viridans
B)Rheumatic fever due to Group A Strep
C)Infective endocarditis due to Streptococcus mutans
D)Infective endocarditis due to Staph aureus
E)Pericarditis due to Coxsackie virus
B
B