

He died suddenly shortly after admission. He had nausea, vomiting, dehydration, confusion and high fever. What is the MOST LIKELY organism?Ĭlinical History: A 45-year-old male became ill approximately 2 to 3 weeks ago following an alcoholic spree. The organism grown was non-hemolytic, catalase negative, and PYR positive. He presents with new onset of fever, chills, and confusion. An elderly wheelchair bound man had a history of recurrent urinary tract infections. It also showed beta-hemolysis on sheep blood agar (SBA) and was catalase negative. The throat culture obtained exhibited gram positive cocci in chains. What is the BEST diagnosis at the time of death? Larger arteries and veins are located at the interface between cortex and medulla. The inner medulla of the kidney contains only tubules and blood vessels. The vessels exhibit no narrowing or wall thickening. In the areas between the glomeruli, tubules and arterioles are seen. The interstitium demonstrates no evidence of inflammation or fibrosis. Bowman’s capsule that surrounds the glomerulus is thin. The basement membrane is thin and without inflammation or thickening. Within the outer cortex, glomeruli with delicate capillary loops are seen. It consists of the cortex and the medulla.

The kidney excretes soluble waste from the body and controls electrolyte balance.
