USMLE step 2 Mcq 131: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

 

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Question:
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) Lyme disease
b) brucellosis
c) infective endocarditis
d) listeriosis
e) psittacosis


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