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 Best of Five 2.69

 

   

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BOF: 2.69

A 28-year-old male who is known to be an intravenous drug abuser is admitted with a history of fever with chills and rigors. On examination he is febrile, has multiple puncture marks and thrombosed veins in his skin. He has a pulse rate of 120 beats per minute, his jugular venous pressure is elevated with a predominant systolic wave and there is a pan systolic murmur at the left sternal edge, which increases with inspiration. The liver is enlarged and pulsatile. You arrange for blood cultures in this patient.

Which of the following organisms is the most likely to be isolated in this patient?

a)      Streptococcus viridans

b)      Staphylococcus aureus

c)      Staphylococcus epidermidis

d)      Coxiella burnetii

e)      Candida albicans

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