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The fact that aspiration pna results from aspiration of oropharyngeal contents is well tested. However, we also know that klebsiella can cause aspiration pna in alcoholics, and this is an enteric organism.
Thus, when presented with an alcohol with an aspiration pneumonia (RLL most likely), besides foul-smelling breath to indicate anaerobic oropharyngeal contents, and in the absence of currant jelly sputum (which I can't see NBME going for these days), how would one distinguish btw oropharyngeal aspiration and Klebsiella enteric aspiration?
Thus, when presented with an alcohol with an aspiration pneumonia (RLL most likely), besides foul-smelling breath to indicate anaerobic oropharyngeal contents, and in the absence of currant jelly sputum (which I can't see NBME going for these days), how would one distinguish btw oropharyngeal aspiration and Klebsiella enteric aspiration?