Malaria Quiz: Ace Your Exams
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A 44-year-old man presents to the emergency department for evaluation of malaise and fevers. The patient recently returned home from a trip to Honduras. The patient is otherwise healthy and does not take any medications. Temperature is 39°C (102°F), blood pressure is 135/75 mm Hg, heart rate is 101/min, respiratory rate is 14/min, and oxygen saturation is 97% on room air. The patient appears fatigued but is awake, alert, oriented, and in no acute distress. Pupils are equal and reactive and conjunctiva are white. The abdomen is soft, without rebound, guarding, or tenderness. No rashes are present. The patient is provided with intravenous fluids. Laboratory findings and blood smears are shown below. On blood smear there are <5% organisms per HPF. Which of the following is the most likely diagnosis?
Reproduced from: wikipedia
| Laboratory value | Result |
| Serum chemistries | |
| Hemoglobin | 10 g/dL |
| Hematocrit | 30 % |
| Leukocyte count | 11,100 /mm3 |
| Platelet count | 286,000/mm3 |
| aPTT | 36 s |
| PT | 10 s |
Reproduced from: wikipedia
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