I ruled out most of them because of no evidence of person-to-person transmission and only people with pre-existing conditions were affected. The rest would probably also affect children or other attendees or spread to others in the nursing home.
Legionella is common causes of pneumonia superimposed on chronic obstructive pulmonary disease.
to sum it up: - environmental source (residence hall) - no person to person transmission - SUPERIMPOSED pneumonia, NOT a COPD exacerbation + common bacteria for superimposed - H. flu, legionella, morexella catarrhalis (pathoma) + COPD exacerbations usually described as progressively worsening dyspnea and cough, change in sputum
formatting got messed up and now its unreadable - lets try again
legionella because it's an environmental source (residence hall), no person to person transmission, SUPERIMPOSED pneumonia (NOT a COPD exacerbation)
common bacteria for superimposed - H. flu, legionella, morexella catarrhalis (pathoma)
COPD exacerbations usually described as progressively worsening dyspnea and cough, change in sputum; more often viral than bacterial/fungal (UW)
submitted by ∗usmle11a(102)
legionella : very common in advanced age, COPD, immunosuppressed patients and " going back from a residence hall" which probably had a contaminated AX system (basically fits every one in the Q)
adeno X : would present with conjunctivitis, throat pain ... flu virus: not everyone got the disease RSV: no children strep pneumo: would target a larger population of healthy people as well.