A patient has had a cough,fever,and night sweats for many weeks.Now,sores on the mucous membranes of his mouth are appearing.His history states he spent time in the jungles of Central America.He may be suffering from
A) paracoccidioidimycosis.
B) histoplasmosis.
C) blastomycosis.
D) aspergillosis.
E) coccidioidomycoses.

Question

Quizplus · Accepted Answer

The patient's symptoms (cough, fever, night sweats) and history of spending time in the jungles of Central America are suggestive of a fungal infection, most likely a systemic mycosis. The appearance of mucous membrane sores indicates dissemination of the infection. Of the choices given, paracoccidioidimycosis is the most likely as it is commonly found in the tropics of Central and South America and can present with mucous membrane involvement alongside respiratory symptoms. Histoplasmosis, blastomycosis, and coccidioidomycoses may also present with similar symptoms but are less prevalent in Central America. Aspergillosis typically presents with symptoms such as cough and fever but does not involve mucous membranes to the extent observed in this patient.

A Patient Has Had a Cough,fever,and Night Sweats for Many