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Diagnostic Tests for G. vaginalis and Erysipelothrix

An elderly intoxicated man was found unconscious and later died in the hospital, with autopsy revealing vegetative lesions on his heart valves and positive blood cultures for a gram-positive rod. The case raises questions about laboratory identification of the organism, susceptibility communication, and the source of infection, likely Erysipelothrix spp. The document also includes a chapter review with diagnostic tests and matching terms related to various bacterial species.

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matondomackenzie17
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3 views1 page

Diagnostic Tests for G. vaginalis and Erysipelothrix

An elderly intoxicated man was found unconscious and later died in the hospital, with autopsy revealing vegetative lesions on his heart valves and positive blood cultures for a gram-positive rod. The case raises questions about laboratory identification of the organism, susceptibility communication, and the source of infection, likely Erysipelothrix spp. The document also includes a chapter review with diagnostic tests and matching terms related to various bacterial species.

Uploaded by

matondomackenzie17
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CASE STUDY 17.

1
Police found an elderly, intoxicated man unconscious near his
fishing gear. He was taken to the hospital, and samples for
blood cultures were collected. However, despite their efforts,
the emergency department staff was unable to revive him.
At autopsy, several vegetative lesions were seen on both his
aortic and mitral valves, and both valves were perforated.
Blood cultures were reported positive with a gram-positive rod.

Questions
1. What unique manual test could the laboratory perform to
confirm the genus of this gram-positive, catalase-negative
rod, growing both aerobically and anaerobically? What new
methodologies are available to identify this organism?
2. Although susceptibility testing for this organism is
not generally performed, what important information
about the organism’s susceptibility is important to
communicate to those caring for the patient?
3. What is the likely source of this patient’s infection with
Erysipelothrix spp.?
  

Chapter Review
1. A presumptive identification of G. vaginalis is sufficient 5. Matching: Match each term with the correct description.
for genital isolates, based on which diagnostic test? _____
E CNA a. sodium
a. Beta-hemolytic HBT agar _____
A SPS polyanethol
b. Negative oxidase _____
B HNID sulfonate
c. Negative catalase _____
D clue cells b. Haemophilus-
d. All of the above C
_____ Gardnerella neisseria
2. Which of the following is the only catalase-negative, F
_____ Erysipelothrix identification
gram-positive, non–spore-forming rod that produces G Arcanobacterium
_____ panel
H2S on TSI? c. associated with
a. Gardnerella spp. bacterial vaginosis
b. Erysipelothrix spp. d. resemble beta-
c. Lactobacillus spp. hemolytic
d. Arcanobacterium sp. streptococci
3. Which of the following organisms has multiple colonial e. Columbia colistin-
morphologies and may have alpha-hemolytic colonies nalidixic acid
resembling streptococci? f. pinpoint,
a. Lactobacillus spp. nonhemolytic
b. Gardnerella spp. g. large, smooth, and
c. Arcanobacterium sp. mucoid colony
d. Bifidobacterium spp. types
4. True or False h. zoonosis
_____
F E. rhusiopathiae stains as both short rods and long
filaments.
_____
F A wet mount of Lactobacillus spp. demonstrates
characteristic clue cells.
_____
F Individuals exposed to Lactobacillus spp. should
follow prophylaxis guidelines.
T In vitro testing is necessary to guide therapy for
_____
Erysipelothrix infection.

321.e1

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