A 45 year old patient with AIDS

Question Number 0580
A 45 year old patient with AIDS and a history of chronic obstructive pulmonary disease develops fever, sweats,diarrhea, and shortness of breath. On examination he is found to have tender hepatosplenomegaly, lymphadenopathy, and skin pallor. On auscultation he has crackles and chest dullness to percussion. His CD4+ lymphocyte count is less than 50 cells/mm3. CT of the chest will reveal mediastinal lymphadenopathy. These findings are suggestive of
a) Mycobacterium avium complex
b) Coxiella burnetii
c) Escherichia coli (Gram -ve)
d) Haemophilus influenzae
e) Legionella pneumophila

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