Gram-Positive Rods on a Cerebrospinal Fluid Gram Stain

Gram-Positive Rods on a Cerebrospinal Fluid Gram Stain

Cerebrospinal fluid (CSF) access device placement in the pediatric population presents challenges due to the development of infections following placement, access or revision, and/or shunt malfunctions. Here we report an unusual pediatric case of L. monocytogenes ventriculitis/VP shunt (VPS) infection and associated pseudocyst with an emphasis on the importance of VPS removal in clearing the in...

Gram-Positive Diplococci in a Cerebrospinal Fluid Gram Stain

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A Mysterious Gram-Positive Rods

We encountered a patient with a history of intravenous drug use presenting with fever, malaise and nausea who was found to have cavitary lung lesions. Unexpectedly, gram positive rods grew out on day five on multiple blood cultures, which were later identified as Mycobacterium fortuitum. The patient underwent transesophageal echocardiogram, which showed aortic and tricuspid valve vegetations. L...

Were Gram-positive rods the first bacteria?

At some point in the evolution of life, the domain Bacteria arose from prokaryotic progenitors. The cell that gave rise to the first bacterium has been given the name (among several other names) "last universal ancestor (LUA)". This cell had an extensive, well-developed suite of biochemical strategies that increased its ability to grow. The first bacterium is thought to have acquired a covering...

The Gram stain.