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Review Question - QID 212454

Chronic Mucocutaneous Candidiasis Introduction Pathogenesis QID: 212454 (M1.OMB.18.1)
In scope icon M 2 B
QID 212454 (Type "212454" in App Search)
A 37-year-old woman comes to the clinic complaining of vaginal pruritus and white discharge for 2 days. She also reports having a white plaque on her tongue (shown in Figure A) that has been present “on and off” for the past 10 years. She is currently sexually active with a new partner for the past 2 weeks with inconsistent condom use. HIV testing in the past has been negative. She denies any weight loss, fevers, or chills but endorses some tingling of the fingertips and lip. On exam, she appears normal without any craniofacial abnormalities. Laboratory findings are as follows:

Serum:
Na+: 137 mEq/L
Cl-: 101 mEq/L
K+: 4.8 mEq/L
HCO3-: 25 mEq/L
Glucose: 117 mg/dL
Creatinine: 1.0 mg/dL
Ca2+: 6.6 mg/dL
AST: 12 U/L
ALT: 15 U/L

What is the most likely explanation for this patient’s symptoms?
  • A
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  • A