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An Acid-Fast Bacillus Is Recovered from a Bronchial Washing on Lowenstein-Jensen

Question 8

Multiple Choice

An acid-fast bacillus is recovered from a bronchial washing on Lowenstein-Jensen medium after 18 days at 35°C with CO2. Initially the colonies are buff, raised, and rough when grown in the dark. After exposure to light, no change in pigmentation is noted. On examination at 10X magnification, the colonies reveal serpentine cording. Which of the following biochemical test reactions will confirm the identity of the most likely etiologic agent?


A) Niacin and nitrate negative
B) Niacin and nitrate positive
C) Niacin positive and nitrate negative
D) Niacin negative and nitrate positive

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