Sunday, December 2, 2007

MMIC

Name: Ong Fei Fei
Sex: Female
Age: 37 years old
IC NO: S210334X
Complaints: Fever, pain during urination, virginal discharge
Diagnosis: UTI

Possible Causative Agents:
1) Enterococcus Faecalis
Characteristics:
1. Appeared as gram positive bacteria in chains
Catalase negative
2. May appear as alpha, beta or non-hemolytic on blood agar
Treatment: Penicilin, gentamicin
2) Escherichia Coli
Characteristiccs:
1. Appeared as gram negative rod
2. Lactose Fermentor
3. Triple Sugar Iron test show acid slant, acid butt with gas
Treatment: Ampicillin, sulfonamides
3) Enterobacter-Klebsiella-Serrtia Family
Characteristics:
1. Appeared as gram negative rod
2. lactose fermentor
Treatment: Gentamicin, cefotaxime
4) Proteus-Providencia-Morganella
Characteristics:
1. Appeared as gram negative rod
2. lactose non-fermentor
3. Appear as swarming on blood agar
Treatment: Ampicillin, cefotaxime

5) Pseudomonas
Characteristics:
1. Appear as gram negative rod
2. Glucose Non-fermentor
3. Metallic sheen growth on the surface of TSI agar
4. Oxidase positive
Treatments: Gentamicin, amikacin
6) Candida albican
Characteristics:
1. Appear as gram positive
2. Typical yeast colonies can be observed on culture plate
Treatments: Clotrimazole troches, nystatin
7) Trichomonas
Characteristics:
1. Urogenital protozoan
2. Pear shaped
3. Flagellated trophozoities
Treatments: Metronidazole
Yeo Ching Wei
0503288C

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