34-year-old male who recently ImmIgrated from Brazil presents with a 5 month history of exert Jonal dyspnea without associated chest pain

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34-year-old male who recently ImmIgrated from Brazil presents with a 5 month history of exert Jonal dyspnea without associated chest pain, palpItahons, dizziness, or syncope. His past medical his\Ofy Is significant for an episode of megacolon, which was treated 2 years ago. On physical exammatIon, there Is 1+ pedal edema and mild jugular verlOUs dIstent!On Cardiac exam is significant for the presence of an S3, but no murmurs are heard. Chest x-ray reveals prominent cardiomegaly Based on these findings, which of the followimg is most hikely causing his symptoms?

  • Q A diphtheric myocarditls
  • QB Coronary arter y disease
  • 0 C Protozoa! d,sease
  • O D Giant cell myocardts
  • Q E Ricketts1al myocardtts

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