Neisseria meningitidis plated on blood agar

Question.

You see a 54year old at his GP practice. He was discharged 8 weeks ago from hospital. A diagnosis of acute anterior MI was made, and he had coronary stents. He has been feeling more breathless on climbing stairs in last week. On examination there is a pan systolic murmur at the left sternal edge. What structural damage could cause this?

        1. Ventricular rupture
        2. Papillary muscle rupture
        3. Mitral regurgitation
        4. Subacute Bacterial Endocarditis
        5. Pulmonary edema

    Answer.

    2. Papillary Muscle Rupture

     
    Explanation.

    Neisseria meningitidis plated on blood agar