Which is the most appropriate next step in management

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A 56-year-old man who underwent kidney transplantation 6 months ago presents to the provider because of fever, dyspnea, non-productive cough, and lethargy. He is on immunosuppressive therapy but no other medications. Vital signs include: pulse 110/min, blood pressure 126/76 mm Hg, respirations 26/min, oxygen saturation 80% on room air, and temperature 38.4.C (101.1.F). Chest auscultation demonstrates occasional bilateral wheezes. Chest X- ray shows diffuse interstitial infiltrates. Bronchoalveolar lavage is performed and methenamine silver staining confirms a fungal infestation. Get the instant assignment help. Which is the most appropriate next step in management?

Reference no: EM133869136

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