66 year old male presents with high fever, nonproductive cough, nausea, vomiting, diarrhea, and headache.
On exam, patient is febrile to 103 F and tachypneic, with heart rate of 77. He appears ill and somnolent. He is complaining of a headache and abdominal pain. Rales noted in LLL.
Labs are significant for a WBC of 15 with 90% PMNs, sodium 126, AST 126, ALT 140, ESR 98.
CXR shows patchy alveolar infiltrates with LLL consolidation.
What's the pathogen?
BONUS: How to make the diagnosis?
Answer in the comments section or email j_racusin@yahoo.com
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