HY USMLE Q #1085 – Pulmonary

A 41-year-old man comes to the physician for a 2-day history of mildly productive cough and fever. Temperature is 102 F. He has been smoking one half-pack of cigarettes daily for 20 years and drinks beer occasionally. He has no past medical history and takes no medications. A chest x-ray is shown. Which of the following is most likely to be seen in this patient?

  Cold agglutinins
  Hyponatremia and diarrhea
  Negatively gram-staining rods
  Obligate intracellular organisms
  Positively gram-staining diplococci
  Thick mucoid colonies with currant jelly sputum