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Image Quiz

2014 August

<p>A middle-aged woman had a 6-day history of fatigue, anorexia, fevers, chills, severe headache and myalgias, in late summer. She had recently hiked in New England and had a dog; she was not sexually active. The temperature was 103.5°F (39.7°C), blood pressure 104/50 mm Hg, and pulse 122 beats per minute; the remainder of the exam were normal. The peripheral blood smear is shown.</p>
<p><b>The most likely diagnosis is which of the following?</b></p>

A middle-aged woman had a 6-day history of fatigue, anorexia, fevers, chills, severe headache and myalgias, in late summer. She had recently hiked in New England and had a dog; she was not sexually active. The temperature was 103.5°F (39.7°C), blood pressure 104/50 mm Hg, and pulse 122 beats per minute; the remainder of the exam were normal. The peripheral blood smear is shown.

The most likely diagnosis is which of the following?



What is the diagnosis?
  • Meningococcemia
  • Anaplasmosis
  • Histoplasmosis
  • Babesiosis
  • “Spotless” Rocky Mountain Spotted Fever
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