Case #2 Clinical History: This 29-year-old male's illness began 10 weeks prior to death, with an episode of "flu". Two weeks later his urine became "smoky". He was found to have hematuria, albuminuria and elevated BUN (180 mg/dl). He died from a pulmonary embolus. The throat culture obtained exhibited gram positive cocci in chains. It also showed beta- hemolysis on sheep blood agar (SBA) and was catalase negative. 1. What was the most likely organism? A. Streptococcus pyogenes B. Streptococcus viridans C. Staphylococcus aureus D. Streptococcus pneumonia 2. What is the BEST diagnosis at the time of death? 3. What are the other possible sequela of this infection?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Case #2
Clinical History: This 29-year-old male's illness began 10 weeks prior to death, with an
episode of "flu". Two weeks later his urine became "smoky". He was found to have
hematuria, albuminuria and elevated BUN (180 mg/dl). He died from a pulmonary
embolus.
The throat culture obtained exhibited gram positive cocci in chains. It also showed beta-
hemolysis on sheep blood agar (SBA) and was catalase negative.
1. What was the most likely organism?
A. Streptococcus pyogenes
B. Streptococcus viridans
C. Staphylococcus aureus
D. Streptococcus pneumonia
2. What is the BEST diagnosis at the time of death?
3. What are the other possible sequela of this infection?
Transcribed Image Text:Case #2 Clinical History: This 29-year-old male's illness began 10 weeks prior to death, with an episode of "flu". Two weeks later his urine became "smoky". He was found to have hematuria, albuminuria and elevated BUN (180 mg/dl). He died from a pulmonary embolus. The throat culture obtained exhibited gram positive cocci in chains. It also showed beta- hemolysis on sheep blood agar (SBA) and was catalase negative. 1. What was the most likely organism? A. Streptococcus pyogenes B. Streptococcus viridans C. Staphylococcus aureus D. Streptococcus pneumonia 2. What is the BEST diagnosis at the time of death? 3. What are the other possible sequela of this infection?
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