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A 68-year-old man presents to the emergency department with fever, productive cough, and shortness of breath for 3 days. He has a history of chronic alcoholism and diabetes. On exam he is febrile and tachypneic. Lung exam reveals crackles in the right upper lobe. Chest X-ray shows lobar consolidation. His sputum is described as thick and “currant jelly” colored. What is the most likely causative organism?
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Blastomycosis
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Patient has a negative TST and positive CXR what is the next best step?
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