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7555 Pathology

A 31-year-old Haitian woman is evaluated for infertility. Pelvic examination shows a markedly enlarged vulva, inguinal lymph node enlargement, and rectal stricture. Biopsy of an inguinal lymph node reveals necrotizing granulomas, neutrophilic infiltrates, and inclusion bodies within macrophages. Which of the following is the most likely etiology of infertility in this patient?

AChlamydia trachomatis
BGardnerella vaginalis
CMolluscum contagiosum
DMycobacterium tuberculosis
Pathology
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7558 Pathology

A 45-year-old male presents with fever, chronic diarrhea, and weight loss. He is found to have multiple pain and swelling of his joints (migratory polyahritis) and generalized lymphadenopathy. Physical examination reveals skin hyperpigmentation. A biopsy from his small intestines reveals the presence of macrophages in the lamina propria that contain PASpositive cytoplasm. The best diagnosis for this individual is

ACrohn's disease
BHanup disease
CNontropical sprue
DWhipple's disease
Pathology
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