A 47-year-old male presents to the office with the complaint of lesions on his skin and in his mouth for one month. History reveals the patient is HIV positive and has never taken anti-retroviral medications because his last CD4 count one year ago was 240 cells/µL. Physical examination reveals diffuse lymphadenopathy and a photograph of the patient's chest and face is obtained as shown in the exhibit. A punch biopsy of one of the lesions reveals multiple spindle cells, prominent vascular spaces and red blood cells.
The most likely etiologic agent is?
- Bartonella henselae
- Epstein-Barr virus
- human herpes virus-5
- human herpes virus-8
- Sporothrix schenckii
The most appropriate treatment is?
- acyclovir
- erythromycin
- ganciclovir
- highly active antiretroviral therapy
- itraconazole
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