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The causative agent of the pneumonia that causes permanent lung damage, may be nosocomial and has a high mortality if untreated is

S. pneumoniae.
K. pneumoniae.
S. pyogenes.
S. aureus.

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Final answer:

The causative agent of the pneumonia that causes permanent lung damage, may be nosocomial and has a high mortality if untreated is S. pneumoniae.

Step-by-step explanation:

The causative agent of the pneumonia that causes permanent lung damage, may be nosocomial and has a high mortality if untreated is S. pneumoniae. K. pneumoniae, S. pyogenes, and S. aureus may also cause pneumonia but are not specifically mentioned to cause permanent lung damage and have a high mortality if untreated like S. pneumoniae does.

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