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A 63-Year-Old Man Is Brought to the Emergency Department Due

question 319

Multiple Choice

A 63-year-old man is brought to the emergency department due to high fever, confusion, headache, watery diarrhea, and cough.  The patient smokes 2 packs of cigarettes daily and has a history of chronic bronchitis.  Temperature is 40.1 C (104.2 F) , blood pressure is 100/70 mm Hg, pulse is 91/min, and respirations are 28/min.  Sputum Gram staining reveals numerous neutrophils but no bacteria.  Which of the following is the most likely cause of this patient's current condition?


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