A 57-year-old man arrives at the clinic after experiencing a 2 month increasing cough and weight loss. He has a history of type 2 diabetes and chronic renal disease. He does not consume tobacco. The patient had a two-week trip to Denmark four months ago. He owns two cats and a bird. He works in a huge hotel's maintenance department, where he maintains the hot tub and swimming pools. The temperature is 38 degrees Celsius (100.4 ° Fahrenheit), the blood pressure is 140/100 mm Hg, the pulse rate is 88 beats per minute, and the respirations rate is 16 / minute. The patient stands at 190 cm (6 feet 3 inches). 22 kg/m² is the BMI. The examination reveals cervical lymphadenopathy. The display depicts chest imaging. Hemoglobin A1c is 8.5% and serum creatinine is 3.8 mg/dL. Which of the following risk factors most likely contributed to this patient's current condition?

Question

Quizplus · Accepted Answer

Eductional Objective: The infection of Mycobacterium TB is controlled by the cooperation of macrophages and T lymphocytes. Conditions that weaken immunological function, such as chronic renal disease, diabetes, HIV, drug misuse, malnutrition, and late age, increase the risk of active TB.

A 57-Year-Old Man Arrives at the Clinic After Experiencing a 2