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Thread: Case 2

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    Arrow Case 2

    Infection with which of the following organisms is most likely to give rise to a bloody pericardial effusion with a high protein content?

    O (A) Mycobacterium tuberculosis
    O (B) Group A Streptococcus
    O (C) Coxsackievirus B
    O (D) Candida albicans
    O (E) S. aureus


    [hide]
    (A) The most common causes for hemorrhagic pericarditis are metastatic carcinoma and tuberculosis. Group A
    Streptococcus is responsible for rheumatic fever, which acutely can lead to a fibrinous pericarditis and to serous
    effusions from congestive failure in the chronic form. Coxsackieviruses are known to cause myocarditis. Candida is a
    rare cardiac infection in immunocompromised persons. S. aureus is best known as a cause of infective endocarditis.
    [/hide]

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