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 Best of Five 177

 

   

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BOF: 177

A 50-year-old male presents with malaise, weight loss and diarrhoea. On examination his skin is pigmented, he has clubbing, anaemia and lymphadenopathy.  Upper gastrointestinal endoscopy is performed and distal duodenal biopsies demonstrate stunted villi. The lamina propria is distended with multiple periodic acid-Schiff (PAS) positive macrophages.

The aetiological agent in this condition is:

a)      Mycobacterium avium intracellulare

b)      Giardia lamblia

c)      Trophyrema whippelleii

d)      Epstein Barr virus

e)      HIV virus

 

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