Tuberculosis (pulmonary) Quiz: Ace Your Exams
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A 45-year-old man presents to the emergency department with a 4-week history of a productive cough and hemoptysis. The patient also reports night sweats, fatigue, and unintentional weight loss of 4.5 kg (10 lbs). The patient reports that his wife who was in India last year taking care of her elderly parents, has been experiencing similar symptoms. Past medical history is significant for hypertension and a 20-pack-year smoking history. Temperature is 38.1°C (100.6°F), pulse is 85/min, blood pressure is 134/82 mmHg, respiratory rate is 20/min, and oxygen saturation is 94% on room air. Chest auscultation reveals rhonchi in the right upper lung field. Chest radiography (below) shows cavitary apical lung lesion with surrounding infiltrates. Which of the following is the most likely underlying cause of this patient’s presentation?
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