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Review Question - QID 101618

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QID 101618 (Type "101618" in App Search)
A 7-year-old Caucasian male presents with a temperature of 38°C. During the physical exam, the patient complains of pain when his femur is palpated. The patient's parents state that the fever started a few days after they noticed a honey-colored crusting on the left upper lip of the child's face. Culture of the bacteria reveals a catalase-positive, gram-positive cocci. Which of the following bacteria is most likely to be found in a biopsy of the child's left femur?

Staphylococcus aureus

82%

103/125

Staphylococcus saprophyticus

1%

1/125

Streptococcus pyogenes

13%

16/125

Clostridium perfingens

0%

0/125

Escherichia coli

2%

2/125

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The child described above has a catalase-positive, gram-positive cocci cutaneous infection that resulted in pyogenic osteomyelitis. The most common cause of pyogenic osteomyelitis is a Staphylococcus aureus infection.

S. aureus can cause osteomyelitis when it spreads from the initial infection site via blood or it may spread from a site close to bone (particularly long bones in children). Symptoms may include a fever, leukocytosis, and pain near the site of the infected bone. Radiographic findings may show bone damage.

Incorrect Answers:
Answer 2: Staphylococcus saprophyticus is a cause of urinary tract infections in sexually active females.
Answer 3: Streptococcus pyogenes, a catalase-negative, gram-positive cocci, is a common cause of skin and pharyngeal infections.
Answer 4: Clostridium perfringens is a common cause of wound infections leading to gangrene.
Answer 5: Escherichia coli is a common cause of urinary tract and gastrointestinal infections.

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