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 Best of Five 2.67

 

   

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BOF: 2.67

A 62-year-old male has had an aortic valve replacement. He presents 5 months after surgery with  malaise, anorexia and low-grade fever. On examination he has splinter haemorrhages in his nails, there are tender nodules on the pulps of his fingers and erythematous macules over his palms. His spleen is just palpable.

You arrange for blood cultures to be taken on this patient

Which of the following is the most likely infecting organism?

a)     Staphylococcus aureus

b)      MRSA

c)      Streptococcus viridians

d)     Staphylococcus epidermidis

e)      Streptococcus bovis

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