A 28 year old woman visits her physician for evaluation of bilateral proximal muscle weakness and muscle pain. Her symptoms started last week and her

Subject
Medicine
System
Allergy & Immunology

Joyce

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Aug 5, 2020
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A 28 year old woman visits her physician for evaluation of bilateral proximal muscle weakness and muscle pain. Her symptoms started last week and her pain is getting worse. Her records indicate alcohol abuse and cocaine addiction. She is HIV positive and she takes zidovudine. She also takes simvastatin for hypercholesterolemia. A muscle biopsy shows significant changes in mitochondrial histology.

What is the most likely etiology of this patient’s condition


A-Alcohol abuse
B-Cocaine addiction
C-Zidovudine
D-Simvastatin
E-HIV infection