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A 45 year old HIV positive woman using continuous intravenous antibiotic infusion to manage a kidney infection


developed a 39 degree C fever. Cultures of blood, the needle tip, and the insertion site revealed large ovoid cells that reproduced by budding. What is the preliminary identification of the infecting organism? How might the antibiotic treatment have affected this patient? What do the findings suggest about the portal of entry for the infection?

I would say the infecting organism is yeast, which probably was there before the IV but got the upper hand because of the constant antibiotics killing off its predators. Usually happens in the gut, but can happen elsewhere. Now she'll need IV antifungals.

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