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A 50-year-old female asked:

What does gram positive cocci in chains, moderate wbc and normal upper respiratory flora in sputum mean?

1 doctor answer1 doctor weighed in
Dr. Stephen Southard
Internal Medicine 17 years experience
Inflammation: A sputum gram stain/ culture that demonstrates what you mention suggests that there is no "pathologic" bacteria, or disease causing bacteria but something is causing inflammation, as noted by the white blood cells. This doesn't mean that you have a bacterial infection though. Normal flora is just that, bacteria that you commonly find in the upper respiratory tract(everything above the rib cage)
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Last updated Nov 18, 2018

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