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Review Question - QID 214327

In scope icon M 6 A
QID 214327 (Type "214327" in App Search)
A 52-year-old man presents to the ED with 1 week of severe back pain. He describes the pain as 10/10 in severity and located in the center of his back along his spine. He reports a 6-month history of worsening shortness of breath and cough with occasional bloody sputum as well as intermittent night sweats. He denies nausea, vomiting, and diarrhea. His past medical history includes HIV, asthma, and hypertension. He recently traveled to his home country of Brazil 1 year ago and visited family in Ohio 6 months ago. His medications include dolutegravir, tenofovir, emtricitabine, albuterol, and hydrochlorothiazide, but he is not compliant. His temperature is 100.1°F (37.8°C), blood pressure is 145/85 mmHg, pulse is 90/min, and respirations are 18/min. On physical exam he appears thin but is in no acute distress. His pulmonary exam is unremarkable, and he has significant tenderness to palpation along the T6/T7 spinous processes. Chest radiograph is significant for the findings in Figure A. Which of the following is the most likely causative organism?
  • A
  • A