A 5-year-old boy is brought to the emergency department 4 hours after sudden onset of fever and chills. He was bitten in his right hand by the family’

Subject
Paediatrics
System
Infectious Diseases

Kathryn

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Jul 29, 2020
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Singapore
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A 5-year-old boy is brought to the emergency department 4 hours after sudden onset of fever and chills. He was bitten in his right hand by the family’s dog 24 hours ago. Examination reveals superficial lacerations of the ulnar aspect of the right hand consistent with a history of dog bite. The wound is surrounded by extensive skin erythema and soft tissue swelling. Palpable lymph nodes are found in the right axilla. His temperature is 38.9 C (102 F). Which of the following is the most likely pathogen or pathogens?
(A) Capnocytophaga canimorsus
(B) Eikenella corrodens
(C) Mixed aerobic and anaerobic bacteria
(D) Pasteurella multocida
(E) Staphylococci
(F) Streptococci
 
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