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8 yo male with CRP>6 who undergoes surgical debridement of MRSA tibial are you worried about?

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Final answer:

To detect C. perfringens, an anaerobic bacterium, use growth conditions that include an anaerobic atmosphere, body temperature cultures, and selective culture media like TSC agar or Reinforced Clostridial Medium.

Step-by-step explanation:

The condition in this scenario suggests a concern for a severe bacterial infection involving Methicillin-resistant Staphylococcus aureus (MRSA), in association with a high C-reactive protein (CRP) level, which indicates inflammation. A young patient with these symptoms likely underwent surgical debridement to remove infected tissue to prevent the spread of the infection within the bone or the development of osteomyelitis, which is a bone infection that could lead to severe complications.

For the detection of Clostridium perfringens, an anaerobic bacterium often responsible for tissue gas production in infections such as gas gangrene, growth conditions should include an anaerobic environment, at body temperature (37ºC), and may involve the use of special culture media like Tryptose-Sulfite-Cycloserine (TSC) agar or Reinforced Clostridial Medium, aiming to detect toxin production and prevent the growth of competing bacteria.

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