38. A 54-year-old gardener with diabetes mellitus acquired a small scratch from a thorn while working...

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38. A 54-year-old gardener with diabetes mellitus acquired a small scratch from a thorn while working in his flower garden. After 3 weeks, he noticed a small pink, painless bump at the site of a scratch. He was not concerned by the bump; however, additional linearly distributed bumps that resembled boils began to appear 1 week later that were quite painful. When the changes took on the appearance of open sores that drained clear fluid without any evidence of healing as shown on the image, he finally visited his physician. The physician referred to the gardener for a skin biopsy to confirm his working diagnosis and to start treatment as soon as possible. Which of the following is the most likely diagnosis for this patient? a. Paracoccidioidomycosis b. Blastomycosis c. Cat scratch disease d. Sporotrichosis DAMS 38. A 54-year-old gardener with diabetes mellitus acquired a small scratch from a thorn while working in his flower garden. After 3 weeks, he noticed a small pink, painless bump at the site of a scratch. He was not concerned by the bump; however, additional linearly distributed bumps that resembled boils began to appear 1 week later that were quite painful. When the changes took on the appearance of open sores that drained clear fluid without any evidence of healing as shown on the image, he finally visited his physician. The physician referred to the gardener for a skin biopsy to confirm his working diagnosis and to start treatment as soon as possible. Which of the following is the most likely diagnosis for this patient? a. Paracoccidioidomycosis b. Blastomycosis c. Cat scratch disease d. Sporotrichosis DAMS