A 36-year-old woman presents with a 2-week history of fever, productive cough, and pleuritic chest pain following travel to Arizona. Vital signs show temperature 38.5°C, heart rate 102/min, respiratory rate 22/min, and blood pressure 118/76 mmHg. Physical examination reveals tender erythematous nodules on both shins. Chest radiograph demonstrates hilar lymphadenopathy. She denies dyspnea or recent antibiotic use. Which of the following is the most likely causative organism?
- A)Coccidioides immitisGABARITO
- B)Mucor species
- C)Candida albicans
- D)Aspergillus fumigatus
- E)Histoplasma capsulatum
Explicação
Coccidioides immitis is correct. Coccidioidomycosis is endemic to the desert Southwest and can present with pulmonary symptoms plus erythema nodosum, an immune mediated finding. Exposure to dust in Arizona is a classic epidemiologic clue. Ver explicação completa e trilha adaptativa →