Star Team

Case Study 4

Patient Name: Tong Wei Hong
Sex: Male
Age: 68 years old
Complaints: Fever, chills, excessive phlegm, breathing problems
Diagnosis: Bronchitis

Bronchitis can also be caused by viruses such as Influenza virus, adenoviruses and rhinoviruses. The bacteria that have been shortlisted are:

1. Streptococcus pneumoniae
2. Klebsiella pneumoniae
3. Haemophilus influenzae
4. Moraxella catarrhalis
5. Bordetella pertussis
6. Mycoplasma pneumoniae
7. Chlamydia pneumoniae

Here are the summarized biochemical tests and antibiotic susceptibility tests for the suspected bacteria. Pictures to help for diagnosis of bacteria:
Haemophilus influenzae on blood agar
Picture taken from: http://en.wikipedia.org/ > search > Haemophilus Influenzae

Gram stain of Haemophilus influenzae
Picture taken from: http://www.textbookofbacteriology.net > search> Haemophilus Influenzae

Klebsiella pneumoniae on MacConkey’s agar (Pink)
Bile solubility test for Streptococcus pneumoniae (Right)
Picture taken from http://www.mc.maricopa.edu/~johnson/labtools/Dbiochem/opto.html

Optochin test for Streptococcus pneumoniae (Left)
Picture taken from http://www.mc.maricopa.edu/~johnson/labtools/Dbiochem/opto.html



Martin Ng TG02