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Acid fast bacilli, cavitary lung lesions, recent travel/immigration, bloody cough, weight loss
Mycobacterium tuberculosis
acid fast bacilli, AIDS, diarrhea, no lung lesions, fever, weight loss, lady windermere syndrome
MAC
acid fast bacilli, cannot be cultured, numb skin patches, hypopigmented skin lesions, thickened peripheral nerves, facial lesions
mycobacterium leprae
gram negative “coffee bean” diplococci, sexually active, purulent discharge, septic arthritis (joint aches), needs enriched media to grow
neisseria gonorrhoeae
encapsulated gram-negative “coffee bean” diplococci, petechial rash, dorms/barracks, stiff neck, vomiting, light sensitivity, termical complement deficiency
neisseria meningitidis
small gram-negative coccobacilli, unvaccinated child, epiglottitis or “cherry red” swolen airway, seizures
haemophilus influenzae type b
small gram negative coccobacilli, no capsule, localized mucosal respiratory infections, child with ear infection or adult with chronic bronchitis
nontypeable haemophilus influenzae