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1724 Unknown

A 60-year-old female, known case of rheumatoid ahritis presented to the ER with shoness of breath, fever and cough for 2 days. Patient was staed on infliximab 2 months ago. On examination, Hypotension Hypoxemic Not maintaining spO2 on room air. Patient was diagnosed with respiratory failure and put on mechanical ventilation. Bronchioalveolar lavage was done and subjected to silver staining. Chest x-ray What is the most likely diagnosis in the above condition: –

AHistoplasma
BAspergillus
CCMV
DMycobacterium tuberculosis
Unknown
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1726 Unknown

A 17-year-old boy presents with chronic low back pain and stiffness for the past 8 months. He denies any GIT or genital infections. His temp is 98.6 F. Lab investigation shows normal ESR and negative RA factor. X-ray films of the vertebral column show flattening of the lumbar curve and subchondral bone erosion involving the sacroiliac joints. Most likely diagnosis?

AAnkylosing spondylitis
BDegenerative join disease
CReiter syndrome
DSeronegative rheumatoid arthritis
Unknown
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