Question
James Thompson is a 55-year-old man with a 3-day history of worsening shortness of breath, subjective fevers, chills, right-sided chest pain, and a productive cough.
James Thompson is a 55-year-old man with a 3-day history of worsening shortness of breath, subjective fevers, chills, right-sided chest pain, and a productive cough. The patient states that his initial symptom of shortness of breath began approximately 1 week ago after delivering mail on an extremely cold winter day. After several days of not feeling well, he went to an immediate care clinic and received a prescription for levofloxacin 750 mg orally once daily for 5 days, which he did not fill due to financial masons. He has been taking acetaminophen and an over-the-counter cough and cold preparation, but feels that his symptoms are getting "much worse." The patient began experiencing right-sided pleuritic chest pain and a productive cough with rust-colored sputum over the past 3 days, and feels that he has been feverish with chills, although he did not take his temperature. He denies any nausea, vomiting, constipation, or problems urinating. A chest X-ray indicates a right middle and right lower lobe consolidative airspace disease, likely pneumonia. Left lung is clear.
1. Describe the symptoms of pneumonia that the patient presents.
2. List the most common bacterial and viral infectious agents that cause pneumonia.
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