06-25-2010, 10:28 AM
A 53-year-old fisherman develops pain and swelling of the right hand 8 hours after suffering
a fish hook injury to the finger. On physical examination, the patient™s temperature is 102.8°F and the patient appears septic. The patient™s hand and a Gram stain of material aspirated
from a bulla are shown in Figures 1-5 and 1-6.What is the most likely etiology of this
bacteremia?
A) Staphylococcus aureus cellulitis
B) group A, beta-hemolytic Streptococcus sepsis
C) Pasteurella multocida cellulitis
D) Vibrio vulnificus sepsis
E) Eikenella corrodens cellulitis
After appropriate wound care and debridement of necrotic tissue as necessary, which
antibiotics should be started in this patient?
A) levofloxacin
B) vancomycin
C) doxycycline and ceftazidime
D) nafcillin and gentamicin
E) trimethoprim-sulfamethoxazole (TMP-SMZ)
a fish hook injury to the finger. On physical examination, the patient™s temperature is 102.8°F and the patient appears septic. The patient™s hand and a Gram stain of material aspirated
from a bulla are shown in Figures 1-5 and 1-6.What is the most likely etiology of this
bacteremia?
A) Staphylococcus aureus cellulitis
B) group A, beta-hemolytic Streptococcus sepsis
C) Pasteurella multocida cellulitis
D) Vibrio vulnificus sepsis
E) Eikenella corrodens cellulitis
After appropriate wound care and debridement of necrotic tissue as necessary, which
antibiotics should be started in this patient?
A) levofloxacin
B) vancomycin
C) doxycycline and ceftazidime
D) nafcillin and gentamicin
E) trimethoprim-sulfamethoxazole (TMP-SMZ)