Severe Community-acquired Pneumonia in Medicine / Internal Medicine — 82yo Man | Infectious Diseases | SMLE Q#11554

SMLE Question #11554

Medicine / Internal Medicine Infectious Diseases

Objective: OBJ-349

Last updated: February 2026
An 82-year-old man is in the ICU with severe community-acquired pneumonia and septic shock. He has hypertension and type 2 diabetes and no recent hospitalization or antibiotic exposure. He is confused and in respiratory distress. Chest radiograph shows bilateral multilobar infiltrates. Blood and sputum cultures are obtained, and IV azithromycin is started. Which antibiotic should be added to azithromycin for empiric treatment of severe community-acquired pneumonia?

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