Which of the following is the most likely etiologic agent?
a. Streptococcus pneumoniae
b. Haemophilus influenzae
c. Legionella pneumophila
d. Anaerobes
e. Mycoplasma pneumoniae
Answer And Discussion:
The answer is d. (Anaerobes.)
The chest x-ray shows a pulmonary abscess in the right lower lobe with an air-fluid level. This is characteristic of an anaerobic infection. These are usually associated with a period of loss of consciousness and poor oral hygiene. The location of the infiltrate suggests aspiration, also making anaerobic infection most likely. The superior segment of the right lower lobe is the segment most likely to develop aspiration pneumonia. Of the organisms listed, only anaerobic infections are likely
to cause a necrotizing process. S pneumoniae capsular type III pneumococci have been reported to cause cavitary disease, but this is unusual
I think its Mycoplasma
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Is the solution