A 45-year-old man goes to his family doctor complaining of a constant, non-produ

Question

A 45-year-old man goes to his family doctor complaining of a constant, non-productive cough. The man also has severe chest pains which he says have bothered him for the past week. The man also says that this is unusual for him because it is summer and he usually gets his “colds” in the winter and not in July. When the physician examines the man’s chest, he hears an abnormal or pathological sound upon auscultation. The man had pneumonia with consolidation in both lobes. No organism was isolated from his sputum on blood agar, but the physician gave him a shot of penicillin “just in case”. As it turned out, the penicillin shot did nothing to relieve the man’s distress. After 96 hours, a Gram-negative bacterium from the man’s sputum did grow on buffered charcoal yeast extract. What disease did this man have?

a. Legionnaires’ disease

b. Lobar pneumonia caused by Klebsiella pneumoniae

c. Lobar pneumonia caused by Streptococcus pneumoniae

d. Psittacosis

e. Tuberculosis

Explanation / Answer

Patient symptoms as per your information provided

1. Non productive cough

2. Severe chest pain

3. Sound from the chest that is abnormal.

And man have gram negative bacteria from his sputum.

Cough is the common symptom in respirator disease but other one is important like in legionnaire s4 disease there is cough with fever , weakness and headache but your patient didn't show this one.

Tuberculosis is an infection disease which is caused by mycobacterium tuberculosis , a slender rod shaped and an obligate aerobe. Wheesl sound is one of the remarkable identification of tuberculosis as well as sputum with blood in severe case , here your patient showing sound like symptoms.

The term pneumonia is applied to the many pulmonary infections most of which is caused by bacteria . Pneumonia is caused by streptococcus pneumoniae is the most common. Pneumonia also are named after the portion of the lower respiratory tract they affect, for example if the lobes of lungs are infected , it is called as lobar pneumonia.

Klebsiella bacteria is a gram negative bacteria and it is responsible for large resistant to drug also , here in your case you identify gram negative bacteria with penicillin resistant , hence we conclude that the above patient is definitely suffered from b option.

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