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A Malaysian with HIV/AIDS with fever and hemoptysis

<p>A man in his twenties presented to a Malaysian hospital with fever, cough and hemoptysis for 3 months and was diagnosed with new HIV infection. He had a CD4+ T-cell count of 18 cells/uL. Shown are his chest X-ray at presentation (Fig.1); his blood culture on horse blood agar plate on Day 7 of growth (Fig.2) and Gram stain of the organism (Fig.3). Which of the following organisms is the cause of his respiratory illness?</p>

A man in his twenties presented to a Malaysian hospital with fever, cough and hemoptysis for 3 months and was diagnosed with new HIV infection. He had a CD4+ T-cell count of 18 cells/uL. Shown are his chest X-ray at presentation (Fig.1); his blood culture on horse blood agar plate on Day 7 of growth (Fig.2) and Gram stain of the organism (Fig.3). Which of the following organisms is the cause of his respiratory illness?



What is the diagnosis?
  • Mycobacterium tuberculosis
  • Cryptococcus neoformans
  • Klebsiella pneumoniae
  • Legionella pneumoniae
  • Rhodococcus equi
  • Actinomyces israelii
  • Nocardia brasiliensis
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