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Author7 Posts
  #1

In this case which one would you choose as the main microorganism, s.aureus or klebsiella pneumonie?
case: 65 year old woman in nursery with flu like symptoms which develops fever, cough...(pneumonia) and mental status changes. CXR: cavitary lesion.

ok I think it should be klebsiella ( old ,community acquired, abcess) but staph causes abcess and is common in elderly too!
So what do you think?

  #2

I'd pick Klebsiella. Don't forget a common thing in Klebsiella is also that it loves to reside in the fissures of the lungs!!!

  #3

y not staph

  #4

Its Klebsiella produces pneumonia in elderly patient especially in nursing homes..

Staf aureus produces pneumonia often superimposed on influenza pneumnia , also in cystic fibrosis patients, produces pleural effusion tension Pneumotocysts danger of pneumothorax.




  #5

flu like syptoms in the question cant it poitn to influenza infection?

  #6

yes, muzammil, that's what I doubt too, and what about mental status? ....the problem is that the answer given is s.aureus...so I'm confused. and you know staph causes pneumonia in elderly too.

  #7

Well guys I checked its staph aureus....










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