Soru

Zorluk: OrtaInfectious Diseases

Match each patient presentation and history of infective endocarditis to the most likely causative organism.

  • A 65-year-old man who recently underwent a cystoscopy for benign prostatic hyperplasia.Enterococcus faecalis
  • A 72-year-old man who recently underwent a colonoscopy revealing a suspicious colonic mass.Streptococcus gallolyticus
  • A 28-year-old man with a history of intravenous drug use presenting with a tricuspid valve vegetation.Staphylococcus aureus
  • A 45-year-old woman with a history of mitral valve prolapse who recently had a dental extraction.Viridans group streptococci
  • A 55-year-old man who had a prosthetic aortic valve placed 3 weeks ago.Staphylococcus epidermidis

Cevap

1 matches to Enterococcus faecalis (GU manipulation), 2 matches to Streptococcus gallolyticus (colon cancer), 3 matches to Staphylococcus aureus (IV drug use), 4 matches to Viridans streptococci (dental work), and 5 matches to Staphylococcus epidermidis (recent prosthetic valve).
The correct matches reflect the established epidemiological associations between specific patient risk factors and the organisms most likely to cause infective endocarditis in those clinical scenarios.

Adım Adım Çözüm

1
Analyze each patient's clinical history for specific risk factors.
Identified risk factors: genitourinary procedure, colonic mass, intravenous drug use, dental procedure, and early prosthetic valve.
Different pathogens have specific portals of entry and affinities for different host conditions.
2
Map the identified risk factor to the normal flora or common pathogen associated with that site.
GU tract correlates with enterococci; colon correlates with S. gallolyticus; skin/IV trauma correlates with S. aureus; oral cavity correlates with viridans streptococci; implanted hardware correlates with S. epidermidis.
Establishing the portal of entry allows for accurate prediction of the causative microbe.

Anahtar Kavram

Microbial associations and risk factors for infective endocarditis.
Tahmini Süre:1m 30s
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