USMLE · Question #565
A 22-year-old woman comes to the office because of a 3-day history of cold symptoms and a 1- week history of progressive fatigue. Six weeks ago, she received a kidney transplant from a living, related
The correct answer is B. BK virus. See the full explanation below for the reasoning.
Question
A 22-year-old woman comes to the office because of a 3-day history of cold symptoms and a 1- week history of progressive fatigue. Six weeks ago, she received a kidney transplant from a living, related donor. Immediately after the operation, she received monoclonal anti-CD3 therapy. Current medications are azathioprine, cyclosporine, and prednisone. Her temperature is 39°C (102.2°F). Physical examination shows a well-healed surgical scar. Serum studies show that her urea nitrogen and creatinine concentrations have tripled. A diagnosis of allograft rejection is suspected. In addition, this patient's clinical presentation is best explained by an infection with which of the following agents?
Options
- AAdenovirus
- BBK virus
- CEpstein-Barr virus
- DHerpes simplex virus
- EVaricella-zoster virus
How the community answered
(28 responses)- B71% (20)
- C4% (1)
- D18% (5)
- E7% (2)
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