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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)
  • B
    71% (20)
  • C
    4% (1)
  • D
    18% (5)
  • E
    7% (2)

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