Q:

A 68 year old woman presents to the ED with confusion. Temp=39.3C and productive cough. Sputum is rusty colored after 2 days. CXR shows right lower lobe consolidation. What is the most likely organism?

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A 68 year old woman presents to the ED with confusion. Temp=39.3C and productive cough. Sputum is rusty colored after 2 days. CXR shows right lower lobe consolidation. What is the most likely organism?


  1. Streptococcus pneumonia
  2. Staphylococcus aureus
  3. Coxiella burnetti
  4. Mycoplasma pneumonia

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The key is A. Streptococcus pneumonia. [Typical presentation of streptococcal pneumonia].

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