A 39-year-old female develops shortness of breath and a low-grade fever

Friday, 16 March 2012

Question NO 14

Several days after exploring a cave in eastern Kentucky, a 39-year-old
female develops shortness of breath and a low-grade fever. Chest x-rays
reveal several irregular areas in both upper lung fields along with enlarged
hilar and mediastinal lymph nodes. A biopsy of one of these lymph nodes
reveals granulomatous inflammation. Multiple small yeasts surrounded by
clear zones are seen within macrophages. Which one of the following
organisms is most likely responsible for this individual’s disease?

a. Aspergillus species
b. Blastomyces dermatitidis
c. C. albicans
d. Histoplasma capsulatum
e. Mucor

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