USMLE Forum Archives - USMLE Step 2 CK - Spinal fluid
Spinal fluid
bingousmle - 09-30-10 18:24
A 16-day-old infant presents with fever, irritability, poor feeding, and
a bulging fontanelle. Spinal fluid demonstrates gram-positive cocci. The
most likely diagnosis is
a. Listeria monocytogenes
b. group A streptococcus
c. group B streptococcus
d. Streptococcus pneumoniae
e. Staphylococcus aureus
bingousmle - 09-30-10 18:24
A 16-day-old infant presents with fever, irritability, poor feeding, and
a bulging fontanelle. Spinal fluid demonstrates gram-positive cocci. The
most likely diagnosis is
a. Listeria monocytogenes
b. group A streptococcus
c. group B streptococcus
d. Streptococcus pneumoniae
e. Staphylococcus aureus
The correct answer and explanation will be available after you answer.
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#8
Re: Spinal fluid paperp - 10-08-10 03:36 My answer is: b.
GBS in meningitis
I found this on Sepsis between late onset and early onset indicating E would be the answer.
Late onset: Late-onset sepsis is usually acquired from the environment (see Infections in Neonates: Neonatal Hospital-Acquired Infection). Staphylococci account for 30 to 60% of late-onset cases and are most frequently due to intravascular devices (particularly umbilical artery or vein catheters). http://www.merck.com/mmpe/sec19/ch279/ch279m.html
#9
Re: Spinal fluid babbu5508 - 10-24-10 07:11 My answer is: d.
A 16-day-old infant with meningitis with gram positive cocci.......could be group b streptococcus..........................
#19
Re: Spinal fluid sudha2015 - 03-28-11 00:11 16-day-old infant presents with fever, irritability, poor feeding, and
a bulging fontanelle. Spinal fluid demonstrates gram-positive cocci. The
most likely diagnosis is
C
#20
Re: Spinal fluid babbu5508 - 03-31-11 21:58 Targets for therapy of CF are the lungs, gastrointestinal tract (including pancreatic enzyme supplements), the reproductive organs (including assisted reproductive technology (ART)) and psychological support.
#21
Re: Spinal fluid babbu5508 - 03-31-11 21:59 Most cases of group B strep infection in newborns can be prevented by giving certain pregnant women antibiotics during labor. Antibiotic treatment before labor does not prevent group B strep infection in newborns.
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