5 Days Of Fever in Medicine / Internal Medicine — 38yo Man | Infectious Diseases | SMLE Q#16795

SMLE Question #16795

Medicine / Internal Medicine Infectious Diseases

Objective: OBJ-349

Last updated: February 2026
A 38-year-old man with no comorbidities presents with 5 days of fever, productive cough, pleuritic right-sided chest pain, and mild dyspnea. He has not been hospitalized and has not used antibiotics in the past 3 months. Exam shows bronchial breath sounds and crackles over the right mid-lung. Chest X-ray shows a right middle lobe infiltrate; sputum culture is sent. What is the most appropriate immediate empiric IV antibiotic therapy?

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