A 52-year-old male, known to have type 2 diabetes mellitus, presents with high-grade fever, productive cough, and progressively worsening shortness of breath for five days. His family reports confusion and decreased oral intake over the past 24 hours. On examination, he is febrile (39.2°C), tachycardic (HR: 118/min), hypotensive (BP: 88/56 mmHg), a
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