A Gram-negative bacillus is isolated from a midstream urine…

A Gram-negative bacillus is isolated from a midstream urine collection. This organism is oxidase-negative, nitrate-positive, indole-negative, and H2S- positive. What is the most likely identification? Sheep Blood Agar Non-hemolytic, mucoid, swarming. Colony Count: > 100,000 CFU/ml MacConkey Agar Non-lactose fermenting

A 64-year old woman presents to the emergency room with a 3-…

A 64-year old woman presents to the emergency room with a 3-day history of a cough producing blood-tinged sputum and a fever. The Gram stain of the sputum has many WBCs and Gram-positive cocci, observed in pairs and chains.  The predominant organism in culture was alpha hemolytic and gave the following reactions: Catalase negative PYR negative Which is the most likely identification of this organism?

An adult patient has recently returned from a missionary tri…

An adult patient has recently returned from a missionary trip to Haiti where she lived in a rural village and tended to livestock.  Upon her return she developed several skin lesions and required surgical intervention to drain.  The direct gram stain showed Gram-positive bacilli and white blood cells. The organism grew catalase positive, non-hemolytic, flat spreading colonies on 5% sheep blood agar.  Which pathogen needs to be considered given the patient history?