Q:

A 50 year old DM patient came to the OPD with complaint of fever, muscle ache, dry cough and anorexia. Investigation: CXR=upper lobe cavitation. What is the single most likely causative organism?

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A 50 year old DM patient came to the OPD with complaint of fever, muscle ache, dry cough and anorexia. Investigation: CXR=upper lobe cavitation. What is the single most likely causative organism?


  1. Legionella
  2. Mycoplasma
  3. Staphylococcus
  4. Klebsiella
  5. Streptococcus

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The key is D. Klebsiella. [Upper lobe cavitation favours Klebsiella pneumonia. Also it is well known that staphylococcal and klebsiella pneumonia are more common in DM than normal person].

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