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Image Quiz

2014 April

<p>A man with HIV infection and AIDS reported four weeks of pain on defecation. The prostate was boggy and tender and pyuria was noted, despite administration of antibiotics.  Urine cultures were sterile.  A prostate abscess was identified and aspirated.  Hematoxylin and eosin stain of the aspirate is shown.</p>
<p><b>The most likely diagnosis is which of the following?</b></p>

A man with HIV infection and AIDS reported four weeks of pain on defecation. The prostate was boggy and tender and pyuria was noted, despite administration of antibiotics. Urine cultures were sterile. A prostate abscess was identified and aspirated. Hematoxylin and eosin stain of the aspirate is shown.

The most likely diagnosis is which of the following?



What is the diagnosis?
  • Blastomyces dermatitidis
  • Pneumocystis jiroveci
  • Histoplasma capsulatum
  • Candida albicans
  • Cryptococcus neoformans
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