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Microbiology
A patient appeared in the emergency room with a submandibular mass. A smear was made of the drainage and a bewildering variety of bacteria were seen, including branched, Gram-positive rods. The most clinically appropriate action is
Do no further clinical workup
Suggest to the laboratory that low colony counts may reflect infection
Determine if fluorescent microscopy is available for the diagnosis of actinomycosis
Consider vancomycin as an alternative drug
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