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transition physiologique majeure chez les angiospermes

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A 6 months old female presented with fever, irritability, and poor feeding for two days. Parents also report poor sleep and high- pitch crying. She was born in the hospital, and her mother had a spontaneous vaginal delivery. Parents refused immunization with repeated family doctor counseling. On examination, the pulse is 116 beats per minute, blood pressure is 80/50 mm hg, and the temperature is 102 F. She looks toxic and drowsy. The neck is stiff on examination. Meningitis is suspected, and lumbar puncture is planned. CSF gram-stain analysis shows gram-negative coccobacilli. Which of the following could have prevented the condition?

A 17-year-old female presents after she stepped on a nail that went through her shoe while playing basketball. On examination, a small puncture wound on the plantar surface of her left foot with some erythema and scant discharge is noted. No foreign body is seen. Which of the following is the best empiric therapy for this patient?

A 17-year-old girl presents with complaints of nausea and multiple episodes of vomiting. She also complains of two episodes of non-bloody diarrhea. The detailed history reveals the consumption of rice at a local restaurant a few hours ago. On presentation, she is afebrile, has a pulse rate of 84 bpm, a blood pressure of 110/60 mmHg, and a respiratory rate of 18 breaths/min. The physical examination does not reveal any significant findings. She has a hemoglobin level of 10 g/dl, a white cell count of 9500/mm3, and a platelet count of 345,000/mm3. Supportive management is initiated. The organisms stain purple on a Gram-stain, and further microscopic studies reveal the presence of aerobic bacilli. What is the most likely causative organism in this patient?

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