Q:

A 49 year old man comes with history of cough and SOB. His CD4 count is measured as 350. CXR shows lobar consolidation. What is the single most appropriate option?

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A 49 year old man comes with history of cough and SOB. His CD4 count is measured as 350.

CXR shows lobar consolidation. What is the single most appropriate option?


  1. Mycobacterium avium intercellular
  2. CMV
  3. Streptococcus
  4. Toxoplasmosis
  5. Pneumocystis jerovici

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The key is C. Streptococcus. [Though CD4 count indicates immunoseficincy syndrome features are consistent with lobar pneumonia].

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