A 36 year old woman presents with several weeks of jaw pain and a slowly enlarging firm neck mass that began after a dental procedure. She also has a history of prolonged intrauterine device use. Examination reveals multiple draining sinus tracts with yellow granules in the exudate. Which of the following organisms is the most likely cause of this infection?

  1. A)Staphylococcus aureus
  2. B)Actinomyces israeliiGABARITO
  3. C)Aspergillus fumigatus
  4. D)Nocardia asteroides
  5. E)Francisella tularensis

Explicação

Actinomyces israelii is correct. This anaerobic branching gram positive organism causes cervicofacial abscesses with draining sinus tracts and sulfur granules after dental work and can also cause pelvic infections in women using intrauterine devices. The infec... Ver explicação completa e trilha adaptativa →

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