A 62 year old man with long standing alcohol use disorder is admitted with fever, productive cough, and shortness of breath. He has poor dentition and often loses consciousness after binge drinking. Chest imaging shows right upper lobe consolidation, and sputum is thick and blood tinged. Which of the following is the most likely causal organism?
- A)Adenovirus
- B)Pseudomonas aeruginosa
- C)Streptococcus pyogenes
- D)Staphylococcus aureus
- E)Klebsiella pneumoniaeGABARITO
Explicação
Klebsiella pneumoniae is correct. Aspiration pneumonia in a patient with alcohol use disorder and currant jelly sputum is the classic vignette for Klebsiella. Its prominent polysaccharide capsule contributes to a thick mucoid appearance and severe lobar diseas... Ver explicação completa e trilha adaptativa →