A 52-Year-Old Man Is Evaluated for Low-Grade Fever, Malaise, Abdominal

question 82

Multiple Choice

A 52-year-old man is evaluated for low-grade fever, malaise, abdominal pain, and diarrhea.  The patient underwent a cadaveric renal transplant 6 months ago to treat renal failure from underlying polycystic kidney disease.  He takes maintenance immunosuppressive therapy.  Physical examination shows mild tenderness in the lower abdominal quadrants with no rebound tenderness.  Serum immunosuppressant levels are within therapeutic range, and renal function studies are normal.  Colonoscopy reveals mucosal erythema and ulcerations.  Biopsy shows large cells with inclusion bodies, and a polymerase chain reaction-based test detects viral DNA.  First-line therapy for the infection is initiated.  This patient is at greatest risk of which of the following from the treatment?

• A)Hepatitis
• B)Myopathy
• C)Neutropenia
• D)Pancreatitis
• E)Thyroiditis

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Definitions:

Earth's Crust

The outermost solid shell of a rocky planet, dwarf planet, or natural satellite, which is chemically distinct from the underlying mantle.

Chattel

Personal property which is movable, as opposed to real property or real estate.

Firmly Attached

Pertains to property or equipment that is fixed or securely fastened to a location or structure, often impacting legal status or taxation.

Joint Tenancy

A form of co-ownership where two or more persons hold equal shares of a property with rights of survivorship, meaning when one owner dies, their share automatically passes to the remaining owner(s).