The RT is caring for a 32-year-old man admitted to the hospital 24 hours earlier with fever, shaking

The RT is caring for a 32-year-old man admitted to the
hospital 24 hours earlier with fever, shaking chills, and a new left lower lobe
infiltrate. His WBC count on admission was 3500 cells/mm3 , with 96%
neutrophils and 4% lymphocytes. A sputum Gram stain disclosed many
polymorphonuclear leukocytes and lancet-shaped, gram-positive diplococci. Blood
cultures have grown S. pneumoniae at 24 hours. He remains febrile 24 hours into
therapy with penicillin G. While checking pulse oximetry, the RT notes that the
patient is emaciated and that multiple needle tracks are present in each
antecubital fossa. He tells the RT that he uses intravenous heroin. What other
tests are indicated?

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