Sunday, December 9, 2007

Case 1 (Jiaxin)

Patient: Khong Fay Seah, Female, 27, outpatient

Complaints: Fever, chills, dysuria
Diagnosis: Urinary Tract Infection (UTI)



Gram StainOxidaseLactoseTSIIndoleMethyl-redVoges-ProskauerCitrateUreaseWet MountAntibiotic Susceptibility Tests
Escherichia Coli--+slant & butt yellow (acidic), gas produced, H2S negative ++---Motile bacillusPenicillin G (Ampicillin), Sulfonamides Cephalosporin, Aminoglycoside
Proteus mirabilis---slant red (alkaline) & butt yellow (acidic), gas & H2S produced-+-++Highly motile bacillusTrimethoprim-sulfamethoxazole, Ampicillin
Klebsiella pneumoniae--+slant & butt yellow (acidic), gas produced, H2S negative --+++Non-motile bacillusPenicillin, Cephalosporin, Aminoglycoside, Cephalosporin (e.g. Cefotaxime)
Enterobacter spp--+slant & butt yellow (acidic), gas produced, H2S negative --++-Motile bacillusCiprofloxacin, Aminoglycoside (e.g. Gentamycin)
Pseudomonas aeriginosa-+-slant & butt red(alkaline), gas & H2S negative+--+-Motile bacillusPenicillin, Cephalosporin, Aminoglycoside, Tetramycin

Table1.1 Bichemical, Microscope and Antibiotic Susceptibility Tests Result for Gram-negative Mibcrobes




Gram StainCatalaseCoagulaseHemolytic on Blood AgarWet MountAntibiotic Susceptibility Tests
Staphylococcus saprophytcus++-Non-hemolyticNon-motile cocciNorfloxacin, Trimethoprim-sulfamethoxazole (e.g. Bactrim)
Staphylococcus aureus+-+Beta hemolytic coloniesNon-motile cocciVancomycin, Amoxicillin with clavulanic acid, Cloxacillin, Ampicillin, Cephalosporon
Enterococcus faecalis+-N.ANon-hemolytic colonies (24 hours)
Alpha-hemolytic(48 hours)
Non-motile cocciAmpicillin, Vancomycin, Aminoglycoside

Table1.2 Bichemical, Microscope and Antibiotic Susceptibility Tests Result for Gram-positive Mibcrobes










Cause the previous post's table was cut off, this is the better version. Thanks

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