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1183 Unknown

A 16-month-old boy is brought in by his parents with fever, irritability and lethargy. On examination, the neck is stiff. He hasn’t received any vaccinations. CSF gram stain done and antibiotics were staed immediately. The organism seen in the above gram stain grows on chocolate agar but not blood agar. No one else in the family is ill. All of the following are true about the treatment of the above disease in this patient except: –

AGlucocoicoids have no role in the treatment of the above disease.
B1st line therapy consists of ceftriaxone or cefotaxime.
CDuration of therapy to be given is 1-2 weeks.
DFluoroquinolones can be given.
Unknown
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1185 Unknown

A 24-year-old female presented to the ER with a characteristic rash and fever. On examination, chronic lower extremity ulcer – related to prior trauma, Hypotension and tachycardia were noted. Diffuse erythema – prominent on palms, conjunctiva and oral mucosa. Lab findings revealed deranged RFTs, moderately increased SGOT and SGPT, mild thrombocytopenia. The patient was resuscitated with IV fluid and vasopressors. Blood cultures were negative after 72 hours and now the fingers of the female sta to desquamate. Which of the organisms is the most likely cause of the above condition: –

AStaphylococcus aureus
BHemophilus influenzae
CEnterococcus faecalis
DStreptococcus pneumoniae
Unknown
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