A 68 year old farmer is seen with severe headache and fever
on Tuesday, December 27, 2011
 Question Number 1146 Question: A 68 year old farmer is seen with severe headache and fever. He has a history of a ten day cough with bloody sputum and consolidation on a chest xray showed for which he was given erythromycin by his physician. Physical examination was unremarkable except for bilateral is inspiratory crackles and a lumbar puncture was performed. This demonstrated a highly pleomorphic coccobacillii with gram-negative cell wall. These features are characteristic of a) Streptococcus pneumoniae b) Bacteroides fragilis c) Coxiella burnetii d) Escherichia coli e) Haemophilus influenzae
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Labels: Infectuous and Parasitic deases, MEDICINE