Question

Young patient with recent influenza who presents with pneumonia that is progressive and necrotizing with high fever, productive cough with hemoptysis, leukopenia, and multi lobar cavitary infiltrates:

a) Staphylococcus aureus pneumonia; Vancomycin
b) Streptococcus pneumoniae pneumonia; Ceftriaxone
c) Influenza-associated pneumonia; Oseltamivir + supportive care
d) Pseudomonas aeruginosa pneumonia; Piperacillin-tazobactam

Answer 1

The young patient's symptoms suggest a diagnosis of Staphylococcus aureus pneumonia, which is severe and can follow influenza infection. The appropriate treatment for this condition, considering its severity and resistance patterns, would be Vancomycin.

Step-by-step explanation:

A young patient with recent influenza now presents with pneumonia that is progressive and necrotizing. The symptoms described include high fever, productive cough with hemoptysis, leukopenia, and multilobar cavitary infiltrates. Given the nature of these symptoms, particularly post-influenza status and necrotizing pneumonia, the most fitting option is a) Staphylococcus aureus pneumonia; treat with Vancomycin. Staphylococcus aureus is known for causing severe pneumonia, particularly following influenza, characterized by rapid progression, cavitation, and lung necrosis. Moreover, health care-associated pneumonia pathogens, such as Staphylococcus aureus, can cause severe infections in individuals with compromised immune systems or preexisting lung conditions.