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39 A 36-year-white male, from Ohio, presents w - highsky
#1
39 A 36-year-white male, from Ohio, presents with: fever, malaise, fatigue and skin lesions on his right forearm. Fever is low-grade and without any rigors and chills. His vitals are, PR: 87/min; Temperature: 38.4C(101F); BP: 124/74mm Hg. Examination shows 1-2cm warty, heaped-up skin lesions with violaceous hue and sharply demarcated border. Some of these lesions are crusted. Wet preparation of purulent material from skin lesions shows yeast. Based on these findings, what is the most likely diagnosis in this patient?

A. Histoplasmosis
B. Blastomycosis
C. Coccidioidomycosis
D. Aspergillosis
E. Sporotrichosis
F. Nocardia
G. Actinomycosis

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#2
now this is peculiuar blastomycosis lesion
bb
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#3
AA?
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#4
BBB
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