There are several cases of children from boarding school suffering from sore throat. Microscopy of tonsil smears stained according Neisser method has revealed thin yellow bacilli with dark brown grains on their ends placed in the shape of Roman numeral five. What infection can be suspected in this case?
Correct Answer: A
Rationale: Rationale for Correct Answer A (Diphtheria):
1. Thin yellow bacilli with dark brown grains on ends suggest Corynebacterium diphtheriae, characteristic of diphtheria.
2. Roman numeral five shape is typical of diphtheria bacilli.
3. Diphtheria causes sore throat and can spread in boarding schools.
4. Neisser staining method is used for diphtheria bacilli.
Summary of Incorrect Choices:
B: Scarlet fever is caused by Streptococcus pyogenes and presents with rash, not yellow bacilli.
C: Listeriosis is caused by Listeria monocytogenes, not consistent with the described findings.
D: Tonsillitis can be caused by various bacteria or viruses, but the specific characteristics described do not match.