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Case 2






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A 69 year-old white male with COPD and several months of fatigue, malaise, cough, and weight loss was admitted to the MICU with 6 days of worsened symptoms. Patient denied chest pain, fever, or chills. Cough was nonproductive and both CXR and CT showed dense LLL consolidation. BAL and sputum showed the above organism.


Contributed by COL Robert Kazragis. Photomicrograph courtesy of CPT John Cramer, Department of Medicine, DDEAMC.

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