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CASE HISTORY One Weekend in June,Cassi Was Camping with Her Three Children.She

Question 50

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CASE HISTORY
One weekend in June,Cassi was camping with her three children.She suffered a minor cut on her finger,which she bandaged properly.She also injured the left side of her body while playing sports with her kids.Not thinking much of either of her minor injuries,she went to bed.Two days later,Cassi was extremely ill.Her symptoms included vomiting,diarrhea,and a fever.She was also in severe pain where she had injured her side,and the area had begun to bruise (the skin did not look broken) .By the next day,she could barely get out of bed,and by the end of the night,she was breathing with difficulty and could not see.Her side began to leak fluid and blood.Cassi was admitted to the hospital in septic shock,with no detectable blood pressure.She was given vasopressors (medications that constrict the blood vessels) to raise her blood pressure to the normal level.An infectious disease specialist diagnosed the problem as necrotizing fasciitis,and Cassi was rushed into surgery.In an effort to save her life,about 7% of her body surface was removed.Because the large wound infection in her side would need to resolve before a skin graft could be performed to repair it,the hole in Cassi's body was left wide open.Meanwhile,the continued use of vasopressors caused gangrene in her fingers and lower extremities.After nearly three months and several operations,including amputation,Cassi recovered.
Which organism would be the most likely to be identified in a laboratory culture of Cassi's wound?


A) Staphylococcus epidermidis
B) Streptococcus pyogenes
C) Clostridium perfringens
D) Salmonella enterica

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