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This 53-years-old man with a past medical history of non-insulin dependent diabe

ID: 217518 • Letter: T

Question

This 53-years-old man with a past medical history of non-insulin dependent diabetes mellitus and hypertension was in his usual state of health until 4 days prior to admission, when he developed fatigue, fever, chills and a cough occasionally productive of green sputum. Over the two days prior to admission, he had drenching sweats, increasing dyspnea, and left-sided pleuritic chest pain. The patient had smoked two packs of cigarettes a day for 40 years. His physical examination was notable for an increased respiratory rate of 22 per minute, and crackles were heard over the right middle, left middle, and lower lung fields. A chest radiograph demonstrated right lower lobe, left lingular, and left lower lobe infiltrations. The blood sample cultured on blood agar is on your bench

Explanation / Answer

Bacteremia is a condition in which the blood of a person is infected with any pathological bacteria. According to the information, this patient suffering from non-insulin dependent diabetes mellitus is a chronic smoker and also suffers from possible pulmonary bronchitis. Hence, a blood culture would have been demanded by the physician for investigating any condition of sepsis or bacteremia.

Here, the following key factors can be taken into account while ensuring bateremia:

Thus, a technical expert and a physician can look out for the above mentioned parameters in this blood culture/report.

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