s/l skiller monday

[Guest guest]

This was going to be a " test " using dictation, but it turns out that it's

" for real " because I really do need help with a blank. Genus and species

are definitely NOT my strong suit...

Background: This is an infectious disease consult evaluating the finding of

AFB in a bronchoalveolar lavage specimen. Patient has been treated with

antibacterial and antifungal therapy so far and is feeling much better than

before. Impression is: An AFB pulmonary mycobacteriosis versus

contamination. They are suggesting respiratory isolation pending the

identity of the organism. Will continue antifungal therapy and will start

antimycobacterial therapy after results of the DNA probes of the AFB isolate

are known.

The blank sounds like " skiller monday " -- I believe the second word is

probably mundtii but I can't get the first part:

Of note, the BAL on 04/03 has also grown moderate Candida tropicalis,

__________ mundtii (s/l skiller munday) and paraphimosis, also Alternaria as

well as Alcaligenes species and alpha streptococcus.

Your file is now at: http://www.mtmentors.com/nmtc/711c63a3.wav

(That's the link to where the wav file is)

Thanks,

Kim R.