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Microbiology Systemic Bacteriology Pa 1 (Gram Positive Cocci, Gram Negative Cocci) 17175ea1

73 yrs old Ramlal has intra-abdominal sepsis. The causative organism was found to be vancomycin, gentamycin and ampicillin resistant. It grows well in presence of 6.5% NaCl and arginine. Bile esculin hydrolysis is positive. Which of the following is this organism

A
Streptococcus agalactae
B
Enterococcus fecalis
C
Streptococcus bovis
D
Streptococcus pneumonia
High-Yield Explanation
Option 1, 3, 4 Bile esculin hydrolysis test: Negative: Streptococcus agalactiae, Streptococcus pneumonia Positive: Streptococcus bovis but it does not grow in presence of 6.5% NaCl, pH 9.6 Option 2 Enterococcus fecalis Grow in the presence of bile and hydrolyze esculine - bile esculin positive. Grows in presence of 6.5% NaCl, pH 9.6 which differentiate it from Group D streptococci. Resistant to penicillins, aminoglycosides and sulfonamides. Intrinsic resistance to cephalosporins and cotrimoxazole. Vancomycin resistance is also seen

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