Q. A 25-year-old female with no significant past medical history presents to your clinic with complaints of fever, cough, and body aches for the past three days. The patient reports that she developed a fever of 101.5 degrees Farenheit, along with a dry cough and body aches three days ago. She also reports a sore throat, fatigue, and a headache. She did not seek medical attention initially, but her symptoms worsened, and she developed shortness of breath and chest pain. She has not had any nausea, vomiting, diarrhea, or rashes. She denies any known sick contacts or recent travel history. She is otherwise healthy and takes no medications regularly. On physical examination, the patient appears ill and uncomfortable. She has a fever and is sweating profusely. Her temperature is 38.9 degrees Celsius (102.2 degrees Fahrenheit), blood pressure is 120/80 mm Hg, heart rate 110/min, respiratory rate 22/min, and her oxygen saturation is 94 percent on room air. She has conjunctival injection, and her throat is erythematous and swollen. Chest auscultation reveals diffuse rhonchi in her lungs with no focal consolidations. She also has diffuse tenderness in her chest, with no associated crepitus. Her abdomen is soft and nontender, and she has no peripheral edema. Based on the information you have at this point in time, which of the following conditions is least likely to be caused by this patient’s diagnosis?

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