64 year old with a 50 year history of smoking presents with | Figure 1

64 year old with a 50 year history of smoking presents with a persistent cough, which did not improve. Concomitantly, he was producing some sputum and developed fever and chills.

He went to an urgent care center which first diagnosed him with a viral URI.

He returned 2 days later and was given a z-pac.

On account of not improving, he went to the urgent care 3 days later, and had a radiograph.

He was referred to the hospital and was admitted for antibiotics IV therapy.

The patient had approx 5 days IV and then was discharged with an antibiotic - augmentin.

A bronchoscopy was obtained while inpatient and revealed an organism which was different from the original sputum sample obtained.

Which organism is likely to have caused this?

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