<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 60-year-old man presents to the emergency department with shortness of breath, cough, and fever. He states that his symptoms started a few days ago and have been progressively worsening. The patient recently returned from international travel. He works from home and manages a chicken coop as a hobby. He has a past medical history of an ST-elevation myocardial infarction and recently has had multiple sick contacts. His temperature is 102F 38.9C, blood pressure is 187108 mmHg, pulse is 120min, respirations are 17min, and oxygen saturation is 93 on room air. A radiograph of the chest reveals bilateral pleural effusions. Pleurocentesis demonstrates the findings below:Protein ratio pleuralserum: 0.8Lactate dehydrogenase ratio pleuralserum: 0.75Glucose: 25 mgdLFurther analysis reveals a lymphocytic leukocytosis of the pleural fluid. Which of the following is the next best step in management?? A: Azithromycin and ceftriaxone, B: Azithromycin and vancomycin, C: Furosemide, D: Rifampin, isoniazid, pyrazinamide, and ethambutol, E: Supportive therapy,  <response>: This is a clinical vignette describing a 60-year-old man with fever, cough, shortness of breath, and bilateral pleural effusions. Key findings include:- Recent international travel - Manages a chicken coop as a hobby- Vital signs consistent with infectioninflammation - Bilateral pleural effusions on CXR- Pleural fluid analysis shows exudative effusion protein ratio 0.5, lymphocytic predominance, and low glucoseThe patient likely has an infectious process causing the pleural effusions. The lymphocytic predominance and low glucose point towards a granulomatous infection like tuberculosis. His hobby of managing a chicken coop also raises suspicion for a zoonotic infection. Rifampin, isoniazid, pyrazinamide, and ethambutol would be an appropriate initial empiric treatment for presumed tuberculous pleural effusions.D: Rifampin, isoniazid, pyrazinamide, and ethambutol 