Abstract

• Subsequently, the presenter has discussion slides which briefly discusses the topic that he/she has presented and the relevant information that is high yield for board exams. 52 year old male with DM, COPD, is seen a day after returning from New Zealand (NZ) and Australia. He did a lot of hiking in NZ and northern Australia where it was rainy. He started feeling unwell during the return trip. He complains of 3 days of fevers, chills, productive cough, and pleurisy. A bipolar gram negative rod is seen on sputum Gram Stain.

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