Question category: Respiratory
A 34 year old female who works in a pet shop presents with a few days history of fever, chills, unproductive cough and shortness of breath. She is also complaining of a sore throat, nose bleeds and severe headache. She is also photophobic. On examination there is a few bibasal crackles. There is evidence of splenomegaly. You notice a few salmon coloured, blanching, papules on her cheeks. Which of the following is the most likely diagnosis?