Question:- I have a case (not real btw) of a 25 year old female who was admitted to the hospital with a history of persistent fever that did not respond to amoxicillin or acetaminophen or ibuprofen. She was a resident of the Philippines who had been travelling in Europe for the previous 11 days. On physical examination, she was febrile, had an enlarged liver, abdominal pain, and an abnormal urinalysis. After isolation and cultivation, the infectious agent was found to exist as Gram-negative, facultative anaerobic rods. The organism could fermenter and was oxidase negative. It possessed lipopolysaccharide consisting of outer somatic O polysaccharide, core polysaccharide (common antigen) and lipid A (endotoxin) What is the infectious agent and what further tests could you do to confirm the preliminary identification?

Principles Of Pharmacology Med Assist
6th Edition
ISBN:9781337512442
Author:RICE
Publisher:RICE
Chapter16: Antifungal, Antiviral, And Immunizing Agents
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I have a case (not real btw) of a 25 year old female who was admitted to the hospital with a history of persistent fever that did not respond to amoxicillin or acetaminophen or ibuprofen. She was a resident of the Philippines who had been travelling in Europe for the previous 11 days. On physical examination, she was febrile, had an enlarged liver, abdominal pain, and an abnormal urinalysis.

After isolation and cultivation, the infectious agent was found to exist as Gram-negative, facultative anaerobic rods. The organism could fermenter and was oxidase negative. It possessed lipopolysaccharide consisting of outer somatic O polysaccharide, core polysaccharide (common antigen) and lipid A (endotoxin)

What is the infectious agent and what further tests could you do to confirm the preliminary identification?

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