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A 3-Year-Old Boy Is Brought to the Physician for the Evaluation

Question 131

Multiple Choice

A 3-year-old boy is brought to the physician for the evaluation of recurrent skin lesions. The lesions first appeared at the age of 2 months and multiple treatment options have been attempted without success. He has also had several episodes of respiratory tract infections, enlarged lymph nodes, and recurrent fevers since birth. The patient's immunizations are up-to-date. He is at the 5th percentile for length and 10th percentile for weight. He appears ill. His temperature is 38°C (100.4°F) , pulse is 100/min, and blood pressure is 100/60 mm Hg. Examination shows several raised, erythematous lesions of different sizes over the face, neck, groin, and extremities; some secrete pus. Cervical and axillary lymph nodes are enlarged bilaterally. This patient most likely has an increased risk of infection with which of the following organisms?


A) Burkholderia cepacia
B) Enterococcus faecalis
C) Giardia lamblia
D) Herpes simplex virus type 1
E) Streptococcus pyogenes

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