Which оf the fоllоwing Jewish groups were peаceful аnd withdrew from society,
8. A 72 yeаr-оld blаck femаle presents with shоrtness оf breath which has been progressive over the past 2 days. Patient does report having had a URI approximately one month ago. On physical exam she is found to have decreased breath sounds on the left, suggesting a left pleural effusion, which is subsequently confirmed on chest x-ray. Patient's physical exam is otherwise significant for patient appearing moderately short of breath. Patient has a past medical history of coronary artery disease, hypertension, diabetes and temporal arteritis, as well as recurrent pneumonia. Allergies are none. Current medications include Metformin 1000 mg po twice daily, metoprolol tartrate 50 mg po twice daily, aspirin 81 mg po daily, simvastatin 40 mg po daily, Famotidine 40 mg po daily, and prednisone 50mg daily. Patient's labs are significant for a white count of 14,000, with 75% neutrophils. Chemistries are significant for having a creatinine of 1.15. LDH is 330, total protein is 7.2. Fluid analysis shows a cloudy turbulent fluid. Thoracentesis fluid reveals :WBCs 500/ml- neutrophils 60%, Lymphocytes 30%. Glucose is 90. LDH 100. Total protein 3.3. PH is 7.4. Gram stain reveals occasional neutrophils and lymphocytes, but no bacteria. What is the most likely cause of patient's pleural effusion?