rida
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39 year old man comes to the ER with a high fever. He reports similar episondes 2 and 4 days ago and reveals that he just returned from a trip from Panama. The only physical finding is splenomegaly. What is the diagnosis?
A) Amebiasis
B) Leishmanisasis
C) Malaria
D) Toxoplasmosis
E) Trichinosis
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| Idiopathic
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Malaria...fever pattern is key. Could also be recueent fever of type Borrelia recurrentis (not sure about the pattern...I think it is weeks rather than days).
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| whereami
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B?
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| rida
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Don't have answer but my guess is also malaria. Whereami i think its malarica because of the cyclic pattern of fever as idiopathic pointed out. B is also a good guess, but i think the fever points more towards malaria, i could be wrong too of course.
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| reyzeuz
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yes, i also think is malaria. the paroxysms are every 44-48 hrs. (except when etiologic agent is Plasmodium malariae, then it is every 72 hrs.)
In Leishmania donovani (visceral or kala-azar) there is also fever peaks but they are two or three a day.
I just had a test on this, and it was very hard. Hope i did fine.
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| mash
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moreover, malaria is endemic in panama.
i think its malaria.
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| gevson
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B!!!I think it's tertiary malaria
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