A 26-year-old man went to his primary care physician with a sudden onset of flu-like symptoms including fever, chills, muscle aches, pleuritic chest pain, and a dry cough. He remarked that he felt terrible, but at least he had been healthy 2 weeks ago, when he and his girlfriend were vacationing in Costa Rica. He pulled out his phone and started sharing pictures of their spelunking trip – featuring stalactites, stalagmites, and bats.
Could it be coccidioidomycosis? Blastomycosis? Tularemia? Histoplasmosis?
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