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A 24-year-old woman is evaluated for a new-onset severe headache. The headache began acutely 3 days ago and is constant and localized to the right temporal area of the head. She has taken ibuprofen and acetaminophen without relief. She also reports swelling along the right side of her jaw that began about 2 weeks ago. On physical examination, temperature is 37.1°C (98.8°F); the remaining vital signs are normal. Her face is swollen and erythematous along the right mandible without evidence of drainage. A contrast-enhanced CT scan of the head and face shows a soft-tissue mass surrounding the right mandible. There is a 3-cm ring-enhancing lesion in the right temporal lobe of the brain. The patient undergoes CT-guided stereotactic aspiration of the lesion. Which of the following organisms would you expect to be isolated from the pus submitted to the laboratory for culture?



A. Bacteroides fragilis and viridans group streptococci
B. Staphylococcus aureus and viridans group streptococci
C. Streptococcus agalactiae and Candida albicans
D. Candida albicans and Clostridium sp.
E. Escherichia coli and Staphylococcus epidermidis

This question is part of Block 13 Pace 2 prt 1
Asked by Chachelly, Last updated: Dec 18, 2019

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John Smith

John Smith

Answered Aug 14, 2017

Bacteroides fragilis and viridans group streptococci
 

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