A 48-Year-Old Man Dies in a Motor Vehicle Crash

question 540

Multiple Choice

A 48-year-old man dies in a motor vehicle crash.  He had a history of intravenous drug use and had recently been released from prison.  The patient's other medical conditions included hepatitis C and hypertension.  On autopsy, he is found to have a small, fibrotic focus in the upper portion of the lower lobe of the right lung and a calcified right hilar lymph node.  These autopsy findings are most consistent with which of the following?

• A)Hematogenous dissemination of Mycobacteria tuberculosis
• B)Mycobacterial elimination from the body
• C)Poor immunity against mycobacterial infection
• D)Primary M tuberculosis infection
• E)Secondary M tuberculosis disease

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