By Brenda W. McCurdy

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Aerobic: S. ; moniae (rare); H. ; H. influenzae, S. ; H. infhenzae, not typeable with b antisera Aerobic: E. co//; diphtheViral: NG roid or lactobacillus Anaerobic: E. 1. Continued NA Aerobic: Aerobic: NA Aerobic: NG NG NG Liver Finding(s) NA Aerobic: Aerobic: Aerobic: Aerobic: (rare) NG NG NG possible Spleen GPC B Bronchial Cause asthma aerobic: NG Urine: LA: negative for S. pneumonlae Ag Thymus: Pneumococcal monia SIDS pneu- of death Viral myocarditis Heart muscle: viral: NG Serum: Coxsackie B virus Ab by complement frxation: type 1, 1:8; type 6, I:1 6 (infection undetermined time); types 2 to 5, cl:8 (Ab not detected); Coxsackie A virus Ab by complement fixation: types 2, 4, 7, 9, 10, 16,

Demonstrate mucord capsule of Cryptococcus neoformans, thus differentiating this pleomorphic yeastMayer’s mucicarmine form fungus from others of similar size and shape; also may stain cell walls of Blastomyces dermatitiSouthgate’s mucicarmine dis, Lacazia (Loboa) loboi, Paracoccidioides brasiliensis and Rhinosporidium seeberi Alcian blue Colloidal iron Melanin stain: Modified acFontana-Masson . . . . . . . . . . . . . . . . Useful for staining the cell wall of Cryptococcus neoformans, which contarns melanoid substances; centuates and confirms the presence of melanin in weakly pigmented agents of phaeohyphomycosis Giemsa stains .

Pneumoniae Ag; N. meningiti- Other history prenatal course; full-term delivery w/ difficult presentation, req. v. fluids; suffered ventricular tachycardia arrest, deftbrillated; biventricular congestive heart failure; subsequent cllnical course complrcated by ventricular tachyarrhythmias and cardiogenic shock, refractory to transvenous pacing, intraaortic balloon pump placement, and pressers Found lying supine in bed by mother in morning, unresponsive and apnerc; last seen alive previous evening; could not be resuscitated; H/O asthma requiring hospitalization and NMT treatments for acute exacerbation (at 8 Clinrcal findings Lobar pneumonia (LLL); fatty liver; hypertrophic heart with patchy myocardial fibrosis; atherosclerotrc CAD, moderate Epicardial and thymic petechiae; bilateral pneumothoraces (artifacts of mechanical ventilation) Petechrae of thymus and eprcardrum; pulmonary edema (slight) Soft, flabby, pale myocardium, extensive interstitial lymphocytrc inflammation and myocardral necrosis; pulmonary edema with dilatation of subpleural lymphatics; serous effusions of pleural, pericardial, and peritoneal cavities Histologic changes of asthma; no gross or hrstologrc signs of pneumonia; limbal dermoid Autopsy z G 2 z =i z;;] 39 yr 4% mo 2 days 6 mo 95AE227 95AE316 95AE363 95AE442 NA NA F Aerobic: NG Aerobic: coagulase-posi- Aerobic: diphtheroids tive staph.

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