患者，男，40岁。自诉1周前有禽类接触史，1天前突发髙热，体温39.8 ，鼻塞，流涕，咳嗽，咽痛，全身肌肉酸痛,呼吸急促，X线胸片见双肺弥漫性浸润;血常规:外周血白细胞、淋巴细胞降低。结合患者症状、体征及现有的检查，最有可能为

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