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10656 Microbiology

A patient appears in the emergency room with a submandibular mass. A smear is made of the drainage and a bewildering variety of bacteria are seen, including branched, gram-positive rods. Which of the following is the most clinically appropriate action?

AConsider vancomycin as an alternative drug
BDetermine if fluorescent microscopy is available for the diagnosis of actinomycosis
CDo no further clinical workup
DSuggest to the laboratory that low colony counts may reflect infection
Microbiology
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