Gram + Branching

Question 1

Actinomyces Israelli

Answer 1

-Gram POS, Branching Rods
-OB ANAEROBE
-Jaw trauma = abcess = sinus tracts = yellow sulfa granules

TX: Penicillin G IV , surgical drainage

Question 2

Nocardia Species

Answer 2

-Gram POS, Branching Rods
-OB AEROBE
-Mycolic Acid, Carbo Fuscha stain
-CAT POS, UREASE POS

SX: in immunocompromised pts (men)
-PULM, CNS, CUTANEOUS (abcesses, inflammation, cavity lesions)

TX: SULFANAMIDES