#DiagnosticDilemma: What is your take on this case??
A 67-year-old man is admitted to the hospital with a fever, chills, cough, and shortness of breath over the past 6 days*

He has a history of diabetes and end-stage renal disease that requires dialysis, which he gets at a dialysis center near his home. He says that the cough has worsened, and he is now coughing up multiple tablespoons of thick green sputum each morning. He lives at home with his wife, has had no recent travel or sick contacts, and no recent hospitalizations.

His temperature is 101.3°F (38.5°C), pulse is 100 beats/min, his respirations are 22 breaths/min, and his blood pressure is 100/72 mm Hg. Pulse oximetry in room air shows an oxygen saturation of 92%. He can speak in 3-4 word sentences, his respiratory examination shows bibasilar crackles, and he has diminished breath sounds at the right middle and right lower lung fields.

Which of the following is the most likely diagnosis?

A. Aspiration pneumonia

B. Community-acquired pneumonia

C. Healthcare-associated pneumonia

D. Hospital-acquired pneumonia

E. Ventilator-associated pneumonia

Answer to be disclosed shortly!

* The present case appears in Medscape
p●●●n f●●e and 12 others like this3 shares
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Dr. M●●u P●●●●y
Dr. M●●u P●●●●y Internal Medicine
CAP( HCAP is no longer a category per IDSA guidlines from 2016)
Oct 25, 2018Like
D●●●●●g P●●●l
D●●●●●g P●●●l General Medicine
How to know the correct answer...somone please let me know.
Oct 29, 2018Like
Dr. P●●●●i C●●●●●●l
Dr. P●●●●i C●●●●●●l Dentistry
Hi Dr. Divyang, the correct answer is C, Healthcare associated Pneumonia. More details here: https://www.plexusmd.com/md/post/answer-to-the-last-diagnosticdilemma/41877
Oct 29, 2018Like