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Microbiology · Respiratory microbiology
Sample itemWhich pathogen can cause atypical pneumonia with hyponatraemia and diarrhoea?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Legionella pneumophila
Legionella pneumonia may cause high fever, gastrointestinal symptoms, hyponatraemia, and exposure history involving aerosolized water systems.
Option by option
A. Streptococcus pyogenes
S. pyogenes usually causes pharyngitis.
B. Bordetella pertussis
Pertussis causes paroxysmal cough.
C. Clostridium tetani
Tetanus causes spastic paralysis.
D. Legionella pneumophila (correct)
Correct: systemic features and water exposure suggest Legionella.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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