Created by
Paul A. Gulig, Ph.D.
with assistance from
David Brumbaugh
Case 4. A 55 year old male who is diabetic and alcoholic is admitted to the hospital for head trauma when he tripped during a drunken stupor. After three days in the hospital he developed a fever of 102oC with chills, a cough producing a current jelly-like sputum. Gram stain of the sputum revealed numerous PMNs, epithelial cells, gram-positive cocci, and gram-negative rods. Chest X-ray reveal abscess formation in posterior segments of the right upper lobe. The sample is from the 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.