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Microbiology
A 71 year old female presents with fever, chills, difficulty in breathing and productive cough. She also complaints of left sided chest pain. Physical examination shows, increased VF, dullness to percussion, decreased bronchial sounds. Chest X-ray shows left lower lobe consolidation. Culture grows organisms that are catalase negative and shows positive Quellung reaction. Gram staining of organism is
Gram positive diplococcus
Gram negative diplococcus
Gram positive cocci in clusters
Gram negative rods
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