Mcq

A 78 year old male with end-stage renal disease, diabetes mellitus, and microscopic polyangiitis, for which he was taking glucocorticoids, presented to the rheumatology clinic with fever, painful glossitis, and taste abnormalities that had persisted for 1 month. Examination of the tongue showed a large, punched-out, painful ulcer. What is the diagnosis? A) Cytomegalovirus infection B) Syphilitic chancre C) Herpes simplex virus infection D) Behcet’s disease E) Eosinophilic ulcer

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A) Cytomegalovirus Infection

Thanks Dr Shivraj Agarwal
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CORRECT ANSWER IS.. A ) .. Cytomegalovirus infection

Most likely answer is A CYTOMEGALOvirus infection

Thanx dr Kute Ankush
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A cmv infection

Bechet disease

SUGGESTIVE OF A.. CYTOMEGALOVIRUS INFECTION

Poor immunity leads to CMV infection

Geogrphycal tongue PerniciousAnaemia.

Its an HSV infection.

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