Pneumococcal lobar pneumonia. A 78-year-old man with chronic lung disease had subjective fever, right-sided pleuritic chest pain, and greatly increased shortness of breath for 2 days. He was afebrile, and his WBC count was 10,600/mm3 with 40% band forms. Blood cultures were positive for S. pneumoniae. A sputum submitted for culture more than 24 hours after antibiotics were begun yielded no pneumococci.
McKean SC, Ross JJ, Dressler DD, Scheurer DB. Principles and Practice of Hospital Medicine, 2e; 2017 Available at: http://accessmedicine.mhmedical.com/ViewLarge.aspx?figid=146984863&gbosContainerID=0&gbosid=0 Accessed: January 30, 2018