MEDizzy - In a patient with lung and skin lesions, a travel history to

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Infection causing diseases 2

In a patient with lung and skin lesions, a travel history to which of the following regions would be most compatible with the potential diagnosis of blastomycosis?

ExplanationIn a patient with lung and skin lesions, a travel history to Northern Wisconsin would be most compatible with the potential diagnosis of blastomycosis. Blastomycosis is a fungal infection caused by Blastomyces dermatitidis, which is endemic in certain regions of North America, particularly in the central and southeastern United States. It is commonly found in the Mississippi and Ohio River valleys, including regions of Wisconsin, Illinois, and surrounding areas. Option C (Northern Wisconsin) is located within the endemic region for blastomycosis. Travel to this region would increase the suspicion of blastomycosis as the potential diagnosis, especially when presenting with lung and skin lesions. Options A (Brazil), B (Malaysia), D (Southern Arizona) are not associated with endemic blastomycosis. These regions have different endemic fungi or are not known to have significant cases of blastomycosis. Therefore, a travel history to Northern Wisconsin would be most compatible with the potential diagnosis of blastomycosis in a patient with lung and skin lesions.