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Exam questionKROK 1Medicine ยท 2008

Blood of a patient with presumable sepsis was inoculated into sugar broth. There appeared bottom sediment. Repeated inoculation into blood agar caused growth of small transparent round colonies surrounded by hemolysis zone. Examination of a smear from the sediment revealed gram-positive cocci in form of long chains. What microorganisms are present in blood of this patient?

Answer options

  1. Tetracocci
  2. Streptococci
  3. Micrococci
  4. Staphylococci
  5. Sarcina
Correct answer

Streptococci

Explanation

Streptococcus is a genus of gram-positive coccus (plural cocci), or spherical bacteria. Cell division in streptococci occurs along a single axis, so as they grow, they tend to form pairs or chains that may appear bent or twisted. (Contrast with that of staphylococci, which divide along multiple axes, thereby generating irregular grape-like clusters of cells.) Most streptococci are oxidase-negative and catalase-negative, and many are facultative anaerobes (capable of growth both aerobically and anaerobically). Species of Streptococcus are classified based on their hemolytic properties. Alpha-hemolytic species cause oxidization of iron in hemoglobin molecules within red blood cells, giving it a greenish color on blood agar. Beta-hemolytic species cause complete rupture of red blood cells. On blood agar, this appears as wide areas clear of blood cells surrounding bacterial colonies. Gamma-hemolytic species cause no hemolysis.

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