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Case report ①

A 43 young old man admitted to shahriyar  hospital with suspicion of osteomyelitis in the hip bone, one years ago. He have! undergon, several hip surgery procedures but there were no Cure. On the day of Last Surgery. draw a Sample from damaged hip area. A gross bloody Sample Submitted to The Lab. Gram Stained Smear showed moderate number of macrophages which engulof cocci like Particles, were seen plus  bone cells, and few PMNS, and Red blood Cells 48 hour post incubation revealed a heavy growth. of yellow pigmented staphylococci which were
flat, yellowish (Golden pigment Beta Hemolytic staphylococci).

 The organism was  catalase positive coagulase positive DNase positive + Weak urease+, Novobiocin Sensitive, and VP positive, cefoxitin-sensitive with more than 30 mm diameter and its antobiogram was as follow