A 35-year-old man travels on a multidestination vacation over a 2 month period, including lengthy stops in tropical Africa and Southeast Asia.Six weeks after returning come home to the United States, he develops a productive cough, fatigue, weight loss, low-grade fever, and night sweats.What disease should the physician consider as a result of his travel history?

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The symptoms for TB include cough, fatigue, weight loss, low-grade fever, and night sweats.In 2011, the World Health Organization estimated that 12 million people worldwide suffered from TB.However, as many as one third of the world's population might be harboring the bacteria.Currently, in the United States more cases are associated with foreign-born individuals from endemic areas than with U.S.-born persons.

A 35-Year-Old Man Travels on a Multidestination Vacation Over a 2