23rd September 2021

A 44 year old woman presents with symptoms she describes as “flu-like”, with a mild cough

A 44 year old woman presents with symptoms she describes as “flu-like”, with a mild cough. She also has a mild fever. Her respiratory rate is 14 and oxygen saturation is 98%. She has noticed small lumps in her neck and armpits. Chest auscultation is unremarkable.

She has a past medical history of hypertension, controlled by ramipril.

What is the most likely cause of this woman’s lymphadenopathy?

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