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Microbiology Bacteria e6cd0abf

Causative organism of late prosthetic valve endocarditis is :

A
Streptococcus viridans
B
Proteus mirabilis
C
Beta haemolytic streptococci
D
Staphylococci
High-Yield Explanation
Ans. is 'a' i.e. Streptococcus Viridans Prosthetic valve endocarditis is of two typesEarly onset endocarditis - onset of symptoms within 60 days of surgery.Late onset endocarditis - onset of symptoms after 60 days of surgeryMC Organism causing - Early onset endocarditis - Staph epidermidis* Late onset endocarditis - Streptococci (Includes viridans streptococci, streptococcus bovis, other non-group A streptococci)But this classification into late and early onset endocarditis is outdated (Note, that the question belongs to the time when this classification was in use)Harrison 15/e divides Prosthetic valve endocarditis into :less than 2 month2-12 monthsMore 12 months after surgeryMC organisms causing prosthetic valve endocarditis according to Harrison 15/e -less than 2 month - Coagulase-negative staphylococci (Staph, epidermidis is a coagulas negative staphylococci)2-12 month - Same as in less than 2 monthmore than 12 months - Streptococci (includes viridans streptococci, streptococcus bovis, other non-group A streptococci)

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