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The differential diagnosis, outside of community acquired pneumonia (CAP) and viral pneumonia, includes parenchymal lung diseases such as acute eosinophilic pneumonia, organizing pneumonia, hypersensitivity pneumonia, lipoid pneumonia, diffuse alveolar hemorrhage, giant cell pneumonitis, and RB-ILD, and cardiac causes such as congestive heart failure [11, 13, 15, 20, 21, 35,36,37,38,39,40]

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These unknown infested units become sources of spread throughout the building