A 28-year-old previously healthy woman presents with abrupt onset of fever, pleuritic chest pain, and a productive cough. She has no sick contacts. Chest X-ray shows a lobar consolidation in the right upper lobe with a positive blood culture growing gram-positive cocci in pairs. Which of the following is the most likely diagnosis?
- A)Legionella pneumophila pneumonia
- B)Streptococcus pneumoniae pneumoniaGABARITO
- C)Chlamydia pneumoniae pneumonia
- D)Mycoplasma pneumoniae pneumonia
- E)Staphylococcus aureus pneumonia
Explicação
S. pneumoniae is the most common cause of community-acquired pneumonia in previously healthy adults. It appears as gram-positive diplococci (lancet-shaped) on culture. Classic presentation includes acute onset, lobar consolidation, and positive blood culture. Ver explicação completa e trilha adaptativa →