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A 35-Year-Old Man Comes to the Office Due to Concern

question 864

Multiple Choice

A 35-year-old man comes to the office due to concern that his HIV medication is no longer working. Over the last 6 weeks, the patient has had intermittent fevers and awakened several times drenched in sweat. He has not used injection drugs since he was diagnosed with HIV a year ago, and he lives in a house with other individuals recovering from substance use disorder. The patient takes antiretroviral therapy and trimethoprim-sulfamethoxazole. Temperature is 37.9 C (100.2 F) , blood pressure is 126/72 mm Hg, and pulse is 102/min. Physical examination reveals several enlarged cervical, supraclavicular, and epitrochlear lymph nodes that are rubbery and mobile. Cardiopulmonary examination is normal, and no organomegaly is present on abdominal examination. There is no rash. Chest x-ray reveals an enlarged cardiac silhouette. Current CD4 count is 208/mm³ and the viral load is undetectable. Which of the following underlying pathogens is most likely responsible for this patient's symptoms?

Definitions:

Fertility Issues

Complications that make it difficult for individuals or couples to conceive, often requiring medical intervention or treatment.

Severe Illness

A condition that poses a substantial risk to an individual's health, often requiring intensive or prolonged medical treatment.

Young Adulthood

A life stage characterized by significant personal, professional, and emotional development, typically occurring from the late teens through the twenties.

Type 2 Diabetes

A metabolic disorder characterized by high blood sugar levels due to the body's resistance to insulin or a lack of insulin production.