A 66-year-old man with hypertension presents with abrupt fever (39.2°C), pleuritic chest pain, productive cough with rust-colored sputum, and dyspnea. Vital signs show BP 148/92 mmHg, HR 102/min, RR 22/min, SpO2 92% on room air. Examination reveals bronchial breath sounds and egophony over the right lower lobe. Chest radiograph demonstrates lobar consolidation of the right lower lobe. WBC is 15,200/μL. Which organism is most likely responsible?
- A)Mycoplasma pneumoniae
- B)Legionella pneumophila
- C)Chlamydophila psittaci
- D)Streptococcus pneumoniaeGABARITO
- E)Klebsiella pneumoniae
Explicação
Streptococcus pneumoniae is correct. The abrupt onset of high fever, pleuritic chest pain, rust colored sputum, and lobar consolidation is the classic presentation of typical pneumococcal pneumonia. This organism is the most common cause of community acquired ... Ver explicação completa e trilha adaptativa →