<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 52-year-old man comes to the physician because of a 4-day history of a productive cough, shortness of breath, and low-grade fever. He works as a farmer in southern Arizona. Physical examination shows multiple skin lesions with a dark blue center, pale intermediate zone, and red peripheral rim on the upper and lower extremities. There are diffuse crackles on the left side of the chest. An x-ray of the chest shows left basilar consolidation and left hilar lymphadenopathy. A photomicrograph of tissue obtained from a biopsy of the lung is shown. Which of the following is the most likely causal pathogen?? A: Coccidioides immitis, B: Aspergillus fumigatus, C: Paracoccidioides brasiliensis, D: Blastomyces dermatitidis, E: Candida albicans,  <response>: This is a question about identifying the most likely causal pathogen in a patient with respiratory symptoms and skin lesions. The key details in the stem are:- 52 year old man with productive cough, shortness of breath, low grade fever- Works as a farmer in southern Arizona- Skin lesions with characteristic appearance dark blue center, pale intermediate zone, red peripheral rim- Lung findings of consolidation and hilar lymphadenopathy on CXR- Photomicrograph of lung biopsy showing characteristic organismThe location of Arizona and the skin lesion description point towards Coccidioides immitis valley fever as the likely pathogen. Coccidioides is endemic to the southwestern United States. The other choices are fungi that would cause different skin manifestations or are unlikely pathogens for this presentation.A: Coccidioides immitis 