Created by
Paul A. Gulig, Ph.D.
with assistance from
David Brumbaugh
Case 1. A 60 year old male who had influenza a week earlier reported to the emergency room with a 104o fever and
shaking chills, a productive cough with a yellowish sputum, and chest pain. CBC revealed 30,000/mm3 WBC,
predominantly PMN. Chest X-ray showed pleural effusion with a patchy infiltrate and 1-2 cm nodules with cavitation. The
sample provided was obtained from sputum.
1. What is the first thing you are going to do with
your culture?
A. Perform a Gram stain.
B. Streak for isolation on MacConkey agar and blood agar
C. Test for antibiotic sensitivity
D. All of the above.