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Author4 Posts
  #1

While traveling by ship from India to Mexico, a 52-year-old man develops malaise, chills, and spiking temperatiures to 39.4C (103F). Over the next several days, he develops preogressive hypotension and muliorgan failure. He is taken to the hospital; a complete blood cell count shows a hemoglobin concentration of 5.0g/dL. A Wright-stained peripheral blood smear is provided (could not upload pic). Which is the most likely diagnosis?

A) Leishmaniasis
B) Malaria
C) Meningococcemia
D) Schistomiasis
E) Trichinosis


  #2

B) Malaria
just guessing. pic would be helpful.


___________________
13/30

  #3

Probably Plasmodium falciparum. This one causes rapid hemolysis of RBC's, hence the low hemoglobin. This is the most dangerous form of malaria and can kill the patient rapidly.

http://en.wikipedia.org/wiki/Plasmodium_falciparu...

http://cdc.gov/malaria/

___________________
Clinical Microbiology since 1974

  #4

Picture would be a lot more useful...
Most probable diagnosis is Malaria.

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blaire33
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