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A 17 year-old male presented with a three day history of increasing dyspnea, dry cough, and low-grade fevers. Lung auscultation demonstrated normal heart sounds and crackles bilaterally. The patient's hands had multiple 1 cm coalescing erythematous macular lesions. His lips demonstrated areas of hemorrhagic erosion. A chest X-Ray demonstrated a reticulonodular pattern without consolidation. What is the most likely diagnosis?
a) Henoch-Schönlein purpura
b) Mycoplasma pneumonia
c) Pneumocystis jiroveci pneumonia
d) Q-fever
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