Five days after a working journey in France a 42 year old male smoker begins to feel ill

Question Number 0564Question:
Five days after a working journey in France a 42 year old male smoker begins to feel ill with malaise, general aches, a headache, and a dry cough. He rapidly develops diffuse bruising and acute renal failure. Investigations reveal a thrombocytopenia. The most likely diagnosis is
a) typhoid fever
b) infectious mononucleosis
c) legionnaire's disease
d) tularemia
e) tuberculosis


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