Malaria Quiz: Ace Your Exams
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A 23-year-old man presents to the emergency department for evaluation of fevers for the past 5 days. The patient recently returned home from a trip to Vietnam. He has no significant past medical history. 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 in no acute distress. Abdominal examination reveals hepato-splenomegaly. Cardiopulmonary examination is within normal limits. He is provided with intravenous fluids. Laboratory findings and microscopic examination of blood smears are shown below. Blood smear shows plasmodium ovale with <5% organisms per HPF. Which of the following is the best next step in management?

Reproduced from: wikipedia
| Laboratory value | Result |
| Serum chemistries | |
| Hemoglobin | 12 g/dL |
| Hematocrit | 36 % |
| Leukocyte count | 12,200 /mm3 |
| Platelet count | 386,000/mm3 |
| aPTT | 32 s |
| PT | 11 s |

Reproduced from: wikipedia
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