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 BOF 152

 

   

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BOF: 152

A 32 year old male presents with a history of cough and progressive breathlessness. He had also lost weight and felt fatigued. He gave a history of having had giardiasis the previous year. Apart from that there was no history of any significant illness and he was not on any drugs. He did not smoke or drink.  He worked as a hair dresser and he was unmarried.

On examination he was thin, no skin lesions, no clubbing, pulse 90 beats per minute regular, heart sounds were normal. There were scattered crepitations in both lungs. No other abnormal findings.

Chest X-ray showed fine nodules throughout the lung fields.

Bronchoscopy was performed and biopsies revealed non-caseating granuloma.

In this patient what is the most likely diagnosis?

a)    Histoplasmosis

b)    Tuberculosis

c)     Atypical mycobacterial infection

d)    Sarcoidosis

e)    Common variable immunodeficiency

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