A 38-year-old AIDS patient presents to the clinic complaining of nausea, occasional v

Discussion in 'Plab 1 and 2 forum' started by Neha Gupta, Jun 17, 2013.

  1. Neha Gupta

    Neha Gupta Active Member

    A 38-year-old AIDS patient presents to the clinic complaining of nausea, occasional vomiting and "bumps" on his groin. On physical examination, multiple, nontender, pedunculated reddish purple nodules in the inguinal and perirectal areas are observed. The patient's liver is palpable 8 cm below the right costal margin. Routine laboratory tests are unremarkable except for an alanine aminotransferase level of 58 and alkaline phosphatase of 90. He denies any foreign travel, but has two pet cats . Which of the following is the most likely cause of this patient's infection?

    a) Bartonella henselae

    b) Human papillomavirus

    c) Molluscum contagiosum virus

    d) Rickettsia prowazekii

    e) Rickettsia prowazekii

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