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A 2-Week-Old Baby Boy Is Hospitalized with Fever, Poor Feeding μ\mu

Question 20

Short Answer

A 2-week-old baby boy is hospitalized with fever, poor feeding, and lethargy. Laboratory results to date include:
Blood cultures: negative to date Cerebrospinal fluid:
4200 WBC/ μ\mu l with 95% neutrophils Glucose: 2 mg/dl
Protein: 355 mg/dl
Direct Gram stain: few small gram-positive coccobacilli and moderate WBCs
Direct bacterial latex agglutination:
H) influenzae type b, N. meningitidis serogroups A, C, Y, and W135,
S) pneumoniae, Group B Streptococcus, and E. coli K1 - All negative
CSF culture at 24 hours: moderate growth of a gray, white colony with a narrow
Zone of beta-hemolysis
You would expect this organism to be
A) esculin negative.
B) catalase positive.
C) sodium hippurate negative.
D) CAMP negative.

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