A 43-year-old man comes to the clinic due to fever, night sweats, fatigue, and progressive skin lesions. The pati ent says the skin lesions started
as small, reddish/purple papules that gradually enlarged to large nodules. He has a history of HIV and is not compliant with antiretroviral therapy
or prophylactic antimicrobials. His last CD4 count 3 months ago was 50/mm3. He has been hospitalized in the past for Pneumocystis pneumonia.
The patient is homeless and primarily lives outdoors but sometimes stays in shelters. Temperature is 38 C (100.4 F), blood pressure is 116/70 mm
Hg, and pulse is 92/min. The patient is cachectic. White plaques are present on his palate. Hepatosplenomegaly is present. Skin examination
shows several purple, pedunculated lesions on the face and extremities that are friable and bleed easily with palpation. CT scan of the abdomen
reveals hypodense liver lesions that enhance with intravenous contrast. Which of the following is the most likely cause of this patient’s current
systemic illness?
- QA Bartonella species
- 0 B. Candida species
- 0 C . Cytomegalovirus
- 0 D. Mycobacterium avium complex
- 0 E. Nocardia species
- 0 F Pneumocystis jirovecii (former ly P carinil)
- 0 G. Pox virus
0 voters
EXP:
Key A
Bacillary angiomatosis
Common in immunocompromise