A 26-year-old man presented with a 5-day history of a cough, fever, mild dyspnea and an exanthematous vesicular rash. The rash appeared 3 days before the presentation. He smokes 30 cigarettes per day. His daughter recently had chickenpox. He neither had been vaccinated against the disease not he had a history of it. Examination Rash had vesicles, pustules, and crusty lesions (Panel A).
Chest radiograph showed multiple small nodules in both lungs (Panel B). CT revealed numerous nodules, 1 to 1.5mm diameter (Panel C). What is the likely diagnosis and management in this case? *This case is from Docplexus Editorial team for educative purpose only. Source: NEJM Stay Connected, the answer will be posted in the next 48h!
