患者，女，34岁，农民，神志不清，呼吸急促，肤色发紫，口角渗出大量血性泡沫状分泌物。体检：体温39.7℃，血压80/56mmHg。心率120次/分，皮肤黏膜多处可见瘀斑。右侧腹股沟淋巴结肿大并溃破，触之坚硬，与周围组织粘连。肺部闻及少量啰音。该患者最可能患的疾病是

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