Image Based Question – 74472

Question

A 23 years old femau, sensorium for two days with the following rash on legs. Her BP is 70/50 mm Hg and neck stiffness is present. Lumbar puncture reveals cloudy CSF with 4200 cells/ pL, protein level 198 and glucose of 21 mg/dL. Which of the following correctly describes the organism causing this condition?

A. Gram-positive cocci catalase negative, bacitracin­sensitive

B. Gram-positive diplococci (lanceolate), catalase negative, optochin sensitive

C. Gram-negative diplococci, ferments glucose and maltose

D. Gram-negative diplococci (kidney-shaped), oxidase positive

 

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