No sorry this is not the cause of Bob's present condition.
This organism is a dimorphic fungus (yeast cell at 37oC and
a mycelial form at room temperature). Patients traveling to the southeastern
parts of the United States are likely to get this infection. Bob has no
history of travel to the southeasten parts of the U.S.. KOH preparations
of sputum samples would reveal broad-based budding yeast
cells (the image is not a gram stain).