Your Patient Is a 27-Year-Old Male Complaining of Difficulty Breathing

Multiple Choice

Your patient is a 27-year-old male complaining of difficulty breathing. He states that he has just returned from a month-long backpacking trip across Arizona. He describes a two-week history of fatigue, fever, nausea, vomiting, diarrhea, and abdominal pain. He started experiencing difficulty breathing yesterday. He has no significant medical history and takes no medications. Physical examination reveals hot, moist skin; bilateral lower-lobe rales on auscultation of the lungs; and the abdomen is soft and nontender. Which of the following is most likely?

A) Legionnaire's disease
B) Hantavirus infection
C) Anthrax
D) Scorpion bite