Review Question - QID 104147

A 37-year-old woman with a history of a kidney transplant presents with a cough, fever, and fatigue. Her symptoms started 1 week ago and have been steadily worsening. She has a history of IV drug use and worked in the past as a commercial sex work in her 20's. She recently traveled to Malasia 1 month ago. Her temperature is 101°F (38.3°C), blood pressure is 114/64 mmHg, pulse is 110/min, respirations are 19/min, and oxygen saturation is 93% on room air. Her physical exam is notable for bilateral coarse breath sounds. Laboratory values are ordered as seen below.
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