Correct!
1. Bone marrow biopsy
The diagnosis remains unclear. A liver biopsy has some risk with the prolonged prothrombin time and low platelets. Mini-thoracotomy and VATS would seem unlikely to reveal additional information to that already obtained and there is no indication for a brain biopsy.
A bone marrow biopsy was performed on hospital day 2 because of the persistent pancytopenia. It revealed budding yeast. (Figure 4).
Figure 4. Bone marrow biopsy showing small budding yeast.
Which of the following are not appropriate at this time?