Review Question - QID 209324

A 70-year-old woman is admitted to the hospital from a nursing home with fever, shortness of breath, and a productive cough. She reports that when she coughs she brings up foul smelling phlegm. Upon arrival, a physical examination is significant for left basilar crackles and dullness to percussion. A chest radiograph shows a left lower lobe pneumonia. She is given vancomycin and high-dose levofloxacin. Over her hospital stay, the patient remains febrile and her dyspnea worsens. A follow-up chest radiograph is obtained, as shown in Figure A. You insert a chest tube and send the fluid for analysis. Labs are also drawn. Results are shown below:
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