Q:

A 35 year old man has a temperature of=39C, cough with purulent sputum and right sided chest pain on inspiration. He has herpes labialis. What is the single most likely causative organism?

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A 35 year old man has a temperature of=39C, cough with purulent sputum and right sided chest pain on inspiration. He has herpes labialis. What is the single most likely causative organism?


  1. Coagulase +ve cocci in sputum
  2. Gram -ve diplococci in sputum
  3. Gram +ve diplococci in sputum
  4. Pneumocystis carinii in sputum
  5. Serology for legionella

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The key is C. Gram +ve diplococcic in sputum. [High temperature, cough with purulent sputum, pleuritic chest pain and herpes labialis are recognized feature of pneumococcal pneumonia. This pneumococcus is Gram +ve diplococci].

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