A 58-year-old woman who works at a bird sanctuary presents with insidious onset of fever, chills, dyspnea, and a nonproductive cough over 3 weeks. She reports night sweats and weight loss. Chest X-ray shows diffuse reticulonodular infiltrates. Blood cultures remain negative after 5 days. Which of the following is the most likely diagnosis?
- A)Blastomycosis
- B)Coccidioidomycosis
- C)Aspergillus fumigatus
- D)HistoplasmosisGABARITO
- E)Mycobacterium tuberculosis
Explicação
Histoplasmosis is endemic in the Mississippi River Valley and associated with bird/bat exposure. It causes subacute to chronic pneumonia with diffuse reticulonodular infiltrates, constitutional symptoms, and negative blood cultures. Diagnosis made by urine ant... Ver explicação completa e trilha adaptativa →