1.A 34-year-old man with a history of HIV
infection
presents to his primary care physician because
of a 4-day history of purulent yellowgreen
sputum, shortness of breath, and chest
pain that is worse with inspiration. His
temperature
is 38.8°C (101.8°F), blood pressure is
116/78 mm Hg, respiratory rate is 22/min, and
heart rate is 88/min. Physical examination
reveals
decreased breath sounds and dullness to
percussion in the right lower lobe. X-ray of the
chest and blood cultures are obtained, and
results
are pending. Which of the following is
most likely most likely causing the patients underlying condition A) respiratory syncytial virus B) haemophilus influenzae C) streptococcus pneumoniae D) pneumocystis jiroveci E) group B streptococcus
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Explanation:
1.A 34-year-old man with a history of HIV
infection
presents to his primary care physician because
of a 4-day history of purulent yellowgreen
sputum, shortness of breath, and chest
pain that is worse with inspiration. His
temperature
is 38.8°C (101.8°F), blood pressure is
116/78 mm Hg, respiratory rate is 22/min, and
heart rate is 88/min. Physical examination
reveals
decreased breath sounds and dullness to
percussion in the right lower lobe. X-ray of the
chest and blood cultures are obtained, and
results
are pending. Which of the following is
most likely most likely causing the patients underlying condition A) respiratory syncytial virus B) haemophilus influenzae C) streptococcus pneumoniae D) pneumocystis jiroveci E) group B streptococcus
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