In a patient of orbital cellulitis, micro organism on culture show greenish colonies and optochin sensitivity. The most likely organism is :
**Core Concept**
Orbital cellulitis is a severe infection of the orbital tissues, often caused by bacteria. The identification of the causative organism is crucial for appropriate treatment. In this case, the presence of greenish colonies and optochin sensitivity on culture suggests a specific type of bacteria.
**Why the Correct Answer is Right**
The description of greenish colonies and optochin sensitivity is characteristic of *Streptococcus pneumoniae*. This organism is a common cause of orbital cellulitis, particularly in children. The greenish colonies are likely due to the production of bile solubility, which is a key feature of pneumococci. Optochin sensitivity is another important diagnostic feature of *S. pneumoniae*, as this organism is susceptible to optochin, a chemical that inhibits the growth of pneumococci.
**Why Each Wrong Option is Incorrect**
**Option A:** *Staphylococcus aureus* is a common cause of skin and soft tissue infections, but it does not typically produce greenish colonies or exhibit optochin sensitivity. *S. aureus* is often associated with a golden pigment, not greenish colonies.
**Option B:** *Haemophilus influenzae* is another potential cause of orbital cellulitis, particularly in children. However, it does not produce greenish colonies or exhibit optochin sensitivity. *H. influenzae* is often associated with a characteristic "chocolate agar" appearance.
**Option C:** *Klebsiella pneumoniae* is a gram-negative rod that can cause a variety of infections, including orbital cellulitis. However, it does not produce greenish colonies or exhibit optochin sensitivity. *K. pneumoniae* is often associated with a mucoid appearance on culture.
**Option D:** *Escherichia coli* is a gram-negative rod that is commonly found in the gastrointestinal tract. It does not produce greenish colonies or exhibit optochin sensitivity. *E. coli* is often associated with a characteristic "swarm" pattern on culture.
**Clinical Pearl / High-Yield Fact**
Remember that the combination of greenish colonies and optochin sensitivity is highly suggestive of *Streptococcus pneumoniae*, a common cause of orbital cellulitis in children.
**Correct Answer:** C. *Streptococcus pneumoniae*.