<prompt> Answer this question truthfullyIn an HIV patient from Missouri with a CD4 count of 50mm3 who presents with coughdyspnea, mouth ulcers, and diffuse lymphadenopathy, and has pancytopenia and elevated LFTs on laboratory exam, what is the likely diagnosis?  <response>: <reason> The likely diagnosis in this case is disseminated histoplasmosis. Histoplasmosis is a fungal infection caused by Histoplasma capsulatum, which is commonly found in soil contaminated with bird or bat droppings. In immunocompromised individuals, such as those with HIVAIDS and low CD4 counts, the infection can spread from the lungs to other organs, causing disseminated disease. Symptoms of disseminated histoplasmosis can include coughdyspnea, mouth ulcers, and diffuse lymphadenopathy. Pancytopenia and elevated liver function tests LFTs are common laboratory findings in disseminated disease. Diagnosis is made through laboratory testing, including blood, urine, and tissue cultures, as well as serologic testing. Treatment involves antifungal therapy, such as amphotericin B or itraconazole. 