The patient was a 44 year-old male with a past medical history significant forhypertension, non-insulin-dependent diabetes, high cholesterol, and heavy smoking (2packs/day). He presented to the emergency room with complaints of chest pain and was found tohave suffered a myocardial infarction (heart attack). A cardiac catheterization on hospital day 3showed three arterial occlusions, and he underwent a triple-bypass on hospital day 5. On day 7,he developed septic shock with acute respiratory and renal failure, requiring intubation. He hada fever at that time of 39.3° C and two blood cultures were obtained. A chest x-ray showed leftlung pleural effusion and a chest tube was inserted to drain the effusion. On day 11, pus wasleaking from the sternal wound. Cultures derived from the wound and from the chest tube grewthe organism noted in figures 1 and 2. A Kirby-Bauer disk diffusion assay is shown in figure 3.Figure 1: Organism under 1000x#LEHET AALBUFEALTHO65greetsFigure 2: Organism grown on 5% BAPFigure 3: K-B disk diffusion assay.The organism is shown to beresistant gentamycin, oxacillin,penicillin, and erythromycin. Theorganism is sensitive to vacomycinand TMP/SMX. This organism was found to have infected five other patients in the same hospital unit. All hadunder-gone open heart surgery within a recent 3-week period. What could be done to determineif these patients were infected with the same or different strains of this bacterium?

Bacteria are single-celled microorganisms that can be found in a wide range of environments,…

This organism was found to have infected five other patients in the same hospital unit. All had under-gone open heart surgery within a recent 3-week period. What could be done to determine if these patients were infected with the same or different strains of this bacterium?

This organism was found to have infected five other patients in the same hospital unit. All had under-gone open heart surgery within a recent 3-week period. What could be done to determine if these patients were infected with the same or different strains of this bacterium?

Principles Of Pharmacology Med Assist

6th Edition

ISBN:9781337512442

Author:RICE

Publisher:RICE

Chapter23: Medications Used For Cardiovascular System Disorders

Section: Chapter Questions

Problem 23RQ

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