A 59-year-old smoker with chronic cough and pneumonia showing gram-positive diplococci has an S. pneumoniae infection, requiring vaccination with PPSV23 or PCV13.
59-vuotiaalla tupakoivalla naisella, jolla on ajoittainen yskä ja keuhkokuume, joka ilmenee grampositiivisina diplokokkeina, on S. pneumonia -infektio; seuraava vaihe on rokotus PPSV23:lla tai PCV13:lla.
| Front | 59-year-old woman with h/o of smoking and a productive cough every morning, suggestive of Chronic Obstructive Pulmonary Disease (COPD). She has hypoxic respiratory failure and signs of lobar consolidation on examination confirmed with CXR. Presentation is concerning for pneumonia, and sputum Gram stain with gram (+) diplococci. What is the causative organism and next step inmanagement? |
|---|---|
| Back | S.pneumoniae ↓ PPSV23 (polysaccharide vaccine) PCV13 (conjugate vaccine) |
Tags: microbiology
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