Bug Hints for if All Else Fails

Question 1

Asplenic patient (surgical or autosplenectomy)

Answer 1

Encapsulated, especially SHiN, microbes

Question 2

Branching rods in oral infection, sulfur granules

Answer 2

Actinomyces israelii

Question 3

Chronic granulomatous disease

Answer 3

Catalase + microbes, esp. S. aureus

Question 4

“Currant jelly” sputum

Answer 4

Klebsiella

Question 5

Dog or cat bite

Answer 5

Pasteurella multocida

Question 6

Facial nerve palsy

Answer 6

Borrelia burgdorferi

Question 7

Fungal infection in diabetic or immunocompromised patient

Answer 7

Mucor or Rhizopus

Question 8

Health care provider

Answer 8

HBV (with needle stick)

Question 9

Neutropenic patients (2)

Answer 9

Candida albicans (systemic), Aspergillus

Question 10

Organ transplant recipient

Answer 10

CMV

Question 11

PAS +

Answer 11

Tropheryma whipplei

Question 12

Pediatric infection

Answer 12

Haemophilus influenzae (including epiglottitis)

Question 13

Pneumonia in CF, burn infection

Answer 13

Pseudomonas aeruginosa

Question 14

Pus, empyema, abscess

Answer 14

S. aureus

Question 15

Rash on hands and feed (3)

Answer 15

Coxsackie A virus, Treponema pallidum, Rickettsia rickettsii

Question 16

Sepsis/meningitis in newborn

Answer 16

Group B strep (Strep agalactiae)

Question 17

Surgical wound

Answer 17

S. aureus

Question 18

Traumatic open wound

Answer 18

Clostridium perfringens