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Quick Scroll A 40 yr old alcoholic developing cough and fever.....?medici 03.26.06 (2 years ago) #1
A 40 yr old develops cough and fever.A chest x ray shows air fluid level in the superior segment of right lower lobe.most likely causative agent

a]streptococcus pneumoniae

b] H.influenza

c]Legionella

d]anaerobes
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Quick Scroll 03.26.06 (2 years ago) #2
I think the answer is anaerobes. A alcoholic is highly predisposed to aspiration and subsequently develop chemical pneumonitis which then gets infected by anaerobes. Further, air fluid level indicates that gas forming organisma are present.

Since in this question, no other information is given, I'd gone for the option "anaerobes".
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