Get Answer: Year Been Hospitalized Question Guide

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Original Question

A 62-year-old man has been hospitalized for a week after an ischemic stroke. After a week of hospitalization, he develops a fever, cough, and purulent sputum. His vitals are pulse rate 88/min, respiratory rate 20/min, temperature 38.4.C (101.1.F), and blood pressure 110/85 mm Hg. On physical examination, he has right-sided basilar crackles. Chest radiography shows a new consolidation obscuring the right heart border. A barium esophagram done a few days ago showed a few tertiary contractions but no evidence of aspiration. The complete blood count is as follows: Hemoglobin 16 mg/dL Hematocrit 50% Leukocytesount 8,900/mm3 Neutrophils 72% Bands 4% Eosinophils 2% Basophils 0% Lymphocytes 17% Monocytes 5% Platelet count 280,000/mm What is the most likely causal microorganism? A. Legionella pneumophila B. Streptococcus pneumoniae inc. Mycobacterium tuberculosis D. Escherichia coli O E. Staphylococcus aureus

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