Misc-2

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Topic: Misc-2.

Posted on: November 24, 2016

Patient no 5
A 24 days old precious boy has been brought to a paediatrician with 4 days history
of vomiting fever and face skin lesion. His lab investigations revealed:

• WBC Count:10 x 109/L
• Serum CRP level: 26.0 mg/dl (<0.2 mg/dl)
• Serum ALT:46 U/l
• Physician wants to know whether this infection is bacterial or viral before start of
  antibiotic.

1. Name one important biochemical marker which can be very helpful in
   differentiating bacterial from viral infection in this patient
2. Name another biochemical marker which be helpful in differentiating gram
   negative from gram positive infection in this patient.
3. Procalcitonin
4. Lipopolysaccharide Binding Protein

Ref No 5
A comparison of high-mobility group-box 1 protein,
lipopolysaccharide-binding protein and procalcitonin in severe
community-acquired infections and bacteraemia: a prospective
Study. Critical Care 2007, 11:R76 (doi:10.1186/cc5967)

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