Q:

A 16 year old girl has been unwell for 5days with malaise, headache and dry cough. She has a few crackles in her chest. Her CXR shows patchy consolidation in the lower lobes. What is the single most likely causative organism?

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A 16 year old girl has been unwell for 5days with malaise, headache and dry cough. She has a few crackles in her chest. Her CXR shows patchy consolidation in the lower lobes. What is the single most likely causative organism?


  1. Cold agglutinins
  2. Gram –ve diplococci in sputum
  3. Gram +ve diplococcic in sputum
  4. Serology for legionella
  5. Sputum staining for mycobacterium TB

All Answers

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The key is A. Cold agglutinins. [Mycoplasma pneumonia, a form of atypical bacterial pneumonia related to cold agglutinin disease].

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