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A 55-Year-Old Man Comes to the Emergency Department with Fever

question 226

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A 55-year-old man comes to the emergency department with fever and chills.  He has a history of acute myeloid leukemia for which he is receiving chemotherapy.  His temperature is 38.3 C (101 F) , blood pressure is 90/50 mm Hg, pulse is 124/min, and respirations are 22/min.  Physical examination is notable for multiple skin patches with necrotic centers and occasional ulcerations, as shown in the image below. A 55-year-old man comes to the emergency department with fever and chills.  He has a history of acute myeloid leukemia for which he is receiving chemotherapy.  His temperature is 38.3 C (101 F) , blood pressure is 90/50 mm Hg, pulse is 124/min, and respirations are 22/min.  Physical examination is notable for multiple skin patches with necrotic centers and occasional ulcerations, as shown in the image below.   Laboratory results are as follows:   Blood cultures are drawn.  Which of the following organisms is most likely responsible for this patient's symptoms? A) Escherichia coli B) Haemophilus influenzae C) Klebsiella pneumoniae D) Pseudomonas aeruginosa E) Streptococcus pneumoniae F) Streptococcus pyogenes Laboratory results are as follows: A 55-year-old man comes to the emergency department with fever and chills.  He has a history of acute myeloid leukemia for which he is receiving chemotherapy.  His temperature is 38.3 C (101 F) , blood pressure is 90/50 mm Hg, pulse is 124/min, and respirations are 22/min.  Physical examination is notable for multiple skin patches with necrotic centers and occasional ulcerations, as shown in the image below.   Laboratory results are as follows:   Blood cultures are drawn.  Which of the following organisms is most likely responsible for this patient's symptoms? A) Escherichia coli B) Haemophilus influenzae C) Klebsiella pneumoniae D) Pseudomonas aeruginosa E) Streptococcus pneumoniae F) Streptococcus pyogenes Blood cultures are drawn.  Which of the following organisms is most likely responsible for this patient's symptoms?


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