A 12-year-old boy with a known history of asthma presents acutely to the emergency department with an acute asthma exacerbation. He requires supplemental oxygen and continuous albuterol therapy. He also requires intravenous magnesium sulfate and subcutaneous terbutaline. Due to the increased level of respiratory support, he is transferred to the intensive care unit for further medical management.
Laboratory studies obtained for viral infections upon his admission are normal. He is unable to be weaned from oxygen support and requires continuous albuterol therapies for longer than 24 hours. You obtain a chest x-ray (see Figure).
Figure.
What is the most likely organism responsible for pneumonia in this school-aged child presenting with status asthmaticus?
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