A 25 Y/o Patient with a History of Cystic Fibrosis

A 25 y/o patient with a history of Cystic Fibrosis comes in complaining of a productive cough, fever, chills, and shortness of breath. Upon physical exam, the patient has dullness to percussion, and increased tactile fremitus. Based on these findings, what are the two most common shapes you are likely see on gram stain and culture?

A) Gram + cocci in pairs and Gram + cocci in clusters
B) Gram + cocci in pairs and Gram - rods
C) Gram + cocci in clusters and Gram - rods
D) Gram - curved, helical "S" shaped organism