{"ops":[{"insert":"A 28 year old man presents with fever with chills, a non-productive cough, dyspnea upon minimal exertion, and intermittent watery diarrhea with abdominal pain for 5 days. He was treated with amoxicillin for 4 days but showed no sign of improvement, despite good compliance.\n\nHis medical, surgical and travel histories are unremarkable. He does not smoke, and only consumes alcohol in moderation. There is no history of recreational drug abuse.\n\nA complete blood count is significant for a leukocytosis of 16,800\/mm3. Blood and sputum cultures have been ordered.\n\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-146_en.png"}},{"insert":"\n"}]}
2
Investigate
Bronchoalveolar lavage
{"ops":[{"insert":"Gram stain of aliquots: a few mononuclear leukocytes, with several rod shaped organisms.\nCulture results will be available in 48 to 72 hours.\n"}]}
Chest x-rays
{"ops":[{"insert":"There are bilateral patchy basal infiltrates, more prominent on the right side.\n"}]}
