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Gram positive cocci (GPC), gram negative bacilli (GNB), gram positive bacilli (GPB), fungi, and acid-fast bacilli were identified in 14 (27%), 13 (25%), 7 (14%), 9 (18%), and 8 (16%) isolates, respectively.
Gram-negative bacilli were identified in 47 % of the cases, gram-positive cocci in 34%%, and yeast in 8%%.
When gram negative bacilli were identified in the CSF, the antibiotic regimen was revised to ceftazidime, levofloxacin and metronidazole.
Similar(57)
MDR bacteria, including MRSA and gram-negative bacilli, were identified more frequently in HAP versus HCAP (78.7% vs. 12.8%; p<0.0001, OR 25, LR 6).
The bacilli were identified as M. tuberculosis by culture and susceptibility testing revealed antibiotic drug resistance to isoniacid and streptomycin.
Samples were excluded from TB when non-tuberculosis bacilli were identified from the culture.
Cultures positive for acid-fast bacilli were identified as the Mycobacterium tuberculosis complex using the MTBDR plus assay (Hain Lifesciences).
Multiple granulomata, some containing acid-fast bacilli, were identified upon histologic examination of the momentum (Technical Appendix Figure).
Uncommon gram-negative non-fermenting bacilli that may have been potential contaminants were identified in only 13 samples (5% of all the samples).
After 24 hours a positive result was recorded, and a Gram-negative bacilli was identified.
Granulomas were identified in the biopsy, although special stains for acid-fast bacilli and fungi were negative.
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