A 32-year-old male presents with a 3-day history of fever wi…

A 32-year-old male presents with a 3-day history of fever with chills and severe weakness.  There are no other complaints.  The patient has a history of unprotected sex with multiple previous partners.  He also reports a history of travel to South America and consumption of food from street vendors while working there one month ago.  He admits to intravenous drug abuse.  The patient denies a history of previous blood transfusion.  Abdominal exam reveals mild hepatomegaly.  Routine laboratory tests are ordered, including CBC, CMP, HIV, and Hepatitis serology panel.  Liver enzymes are elevated and Hepatitis C virus antibody test is positive.  Testing for Hepatitis A and Hepatitis B is negative.  How did this patient most likely acquire Hepatitis C infection?

Patient is a 26-year-old female with no significant PMH who…

Patient is a 26-year-old female with no significant PMH who presents to Internal Medicine office with recent onset of sore throat, fever, and malaise that developed 7 days ago. She complains of severe throat pain, more pronounced on the right, and right ear pain. She reports severe pain with swallowing and states that for the past day, she has been unable to open her mouth widely. Patient is noted to have muffled (“hot potato”) voice.On physical exam she is breathing comfortably. Her vital signs are temperature, T: 102.2°F; HR 102/min; BP 110/70 mm Hg; and RR 15/min.  Examination of the oropharynx revealed a markedly enlarged right tonsil with associated swelling of the soft palate uvular deviation to the left. The right tympanic membrane is clear, with good light reflex and no bulging. There is tender anterior cervical lymph nodes bilaterally. The lung exam was normal and no stridor was noted.  Throat culture is obtained.  What is the most likely bacterial pathogen isolated from the oropharyngeal culture performed by the provider?