Question
A 40-year-old quadriplegic female presents with fever and dyspnea. She is on nitrofurantoin for prophylaxis due to recurrent bladder infections. She has an erythematous rash covering most of her body, inspiratory crackles, and an interstitial infiltrate on chest x-ray with the following CBC differential: WBC 15,000, 60% PMNs, 20% lymphocytes, 20% eosinophils. What is the probable diagnosis?
| A. | Aspiration pneumonia |
| B. |
Hypersensitivity pneumonitis |
| C. |
Community-acquired pneumonia |
| D. |
Sepsis with ARDS |
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