A 62-Year-Old Woman Undergoing Chemotherapy Through a Subcutaneous Port for Locally

A 62-year-old woman undergoing chemotherapy through a subcutaneous port for locally advanced breast cancer comes to the physician with fever and malaise.  She has no other symptoms.
There are no skin lesions on physical examination and cardiac examination is normal.  The patient's abdomen is soft and nontender to palpation.  She has a subcutaneous port in the left chest and there is no erythema, warmth, tenderness, or drainage at the catheter exit site.
Blood cultures grow yeast within 36 hours that is later identified as Candida albicans.  Antifungal therapy is initiated, her port is removed, and blood cultures 48 hours later are negative.
Which of the following must be included in the initial diagnostic workup?

A) Colonoscopy
B) Cystoscopy
C) Liver biopsy
D) Ophthalmologic examination
E) Transthoracic echocardiogram

Correct Answer:

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