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Case of Sick Student • Fever 105 • Swollen throat glands • Sore throat • Based on throat seems to be bacterial Tests and Results • First step, Strep test: – Negative Result • Could be viral instead • Recommendation – Rest, fluids, Tylenol for fever 3 days later: • Student still very ill • Redo strep test, still neg – Strep test only tests for Strep A – Could be C or G strains – Order Follow up culture • Give penicillin 10 days later: • Student still very ill • Student works in lab with penicillinresistance bacteria • Follow up cultures confirm penicillinresistance • Switch meds! Penicillin Control Penicillin Student Don’t Assume!! • Can have False Negatives on Tests • Order Cultures for possible bacterial infections • Check for drug-resistant strains • Check patient history before prescribing meds