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Old 08-23-2012
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Lungs Cough and fever in a sergeant working in The Pentagon

A 24-year-old Air Force Sergeant who works in the mail room at The Pentagon, reports in sick prior to work with a high fever and cough, which he had been suffering from for the last 12 hours. He had previously been well. Physical examination reveals respirations of 25 breaths/min, a temperature of 39.5C (103.1F), and a blood pressure of 135/90 mmHg. There are coarse rhonchi and wheezing from all lung fields. A chest X-ray shows a five-lobe infiltrate, and the mediastinum appears to be widened. A sputum Gram stain shows numerous granulocytes and granulocyte debris, with numerous Gram-positive rods. What is the most likely diagnosis?

a) Bacillus anthracis
b)
Klebsiella pneumoniae
c)
Legionella pneumophila
d)
Staphylococcus aureus
e)
Streptococcus pneumoniae
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Old 08-23-2012
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Quote:
Originally Posted by Casandra View Post
A 24-year-old Air Force Sergeant who works in the mail room at The Pentagon, reports in sick prior to work with a high fever and cough, which he had been suffering from for the last 12 hours. He had previously been well. Physical examination reveals respirations of 25 breaths/min, a temperature of 39.5C (103.1F), and a blood pressure of 135/90 mmHg. There are coarse rhonchi and wheezing from all lung fields. A chest X-ray shows a five-lobe infiltrate, and the mediastinum appears to be widened. A sputum Gram stain shows numerous granulocytes and granulocyte debris, with numerous Gram-positive rods. What is the most likely diagnosis?

a) Bacillus anthracis
b)
Klebsiella pneumoniae
c)
Legionella pneumophila
d)
Staphylococcus aureus
e)
Streptococcus pneumoniae
Woolsorter's disease........
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Old 08-23-2012
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Aaa....the only gram +ve rod

B &C -gram negative
D & E gram positive cocci
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Old 08-23-2012
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A A A!!! Bacillus anthracis!
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Old 08-23-2012
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Correct Answer

yes. A is true........
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Old 08-23-2012
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Default a) Bacillus anthracis

hahaha...didn't knew anything
but pentagon was a buzzword for me
__________________
One day i will infect these microbes and they will search for "Anti-MEbiotic"....
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Old 08-24-2012
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Originally Posted by koolkiller88 View Post
hahaha...didn't knew anything
but pentagon was a buzzword for me
Yes me too.Once I saw the pentagon and mail room....it was A all the way.
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Old 08-24-2012
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Default correct answer :)

The answer is a) Bacillus anthracis

The rapidly progressing pneumonia, the widening mediastinum, and the Gram-positive rods are all clues to the diagnosis. This man is in an occupation that puts him at risk of exposure to bioterrorism agents. Antibiotic treatment must be given immediately for there to be any hope of survival. The untreated mortality rate is over 80%.
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