21st June 2024

A patient presents to a general practitioner operating out of a refugee centre with a two-week history of fevers

A patient presents to a general practitioner operating out of a refugee centre with a two-week history of fevers, dry cough and dyspnoea. On examination, they have an SpO2 of 92% on pulse oximetry which falls to 80% on ambulation. Point of care HIV testing is positive. They are referred for admission in a local hospital, where a plain film is taken of their chest showing diffuse pulmonary infiltrates.

What is the most likely organism causing this syndrome and its radiological appearance?

Select the SINGLE most appropriate option from the list below. Select ONE option only.