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A 63-Year-Old Man Is Brought to the Emergency Department Due

Question 319

Multiple Choice

A 63-year-old man is brought to the emergency department due to high fever, confusion, headache, watery diarrhea, and cough.  The patient smokes 2 packs of cigarettes daily and has a history of chronic bronchitis.  Temperature is 40.1 C (104.2 F) , blood pressure is 100/70 mm Hg, pulse is 91/min, and respirations are 28/min.  Sputum Gram staining reveals numerous neutrophils but no bacteria.  Which of the following is the most likely cause of this patient's current condition?


A) Coccidioides immitis
B) Klebsiella pneumoniae
C) Legionella pneumophila
D) Mycobacterium kansasii
E) Mycoplasma pneumoniae

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