3 Days Of Fever in Medicine / Internal Medicine — 42yo Man | Respiratory / Pulmonology | SMLE Q#18797
SMLE Question #18797
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-RESP-CAP-EMPIRIC
Last updated: March 2026
A 42-year-old man with no chronic illnesses presents with 3 days of fever, productive cough, dyspnea, and pleuritic right-sided chest pain. He has no recent hospitalization or antibiotic use. Lung exam shows decreased breath sounds and crackles at the right base with dullness to percussion. Chest X-ray shows right lower lobe lobar consolidation. Blood cultures and sputum Gram stain/culture are sent. He is admitted due to hypoxemia requiring low-flow oxygen. What is the most appropriate empiric antimicrobial regimen?
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