A 48-Year-Old Man Comes to the Hospital Due to 10

question 2

Multiple Choice

A 48-year-old man comes to the hospital due to 10 days of persistent fever, chills, fatigue, and dyspnea.  He had a splenectomy at age 28 after a motor vehicle accident and received the appropriate vaccines.  The patient does not use tobacco, alcohol, or illicit drugs.  He recently traveled from New York City to Connecticut for a family wedding.  His temperature is 38.6 C (101.5 F) , blood pressure is 118/70 mm Hg, and pulse is 108/min.  Lung examination reveals coarse crackles.  Laboratory studies are as follows: Chest x-ray reveals bilateral infiltrates.  A peripheral blood smear shows normocytic, normochromic anemia with ring- and cross-shaped intraerythrocytic inclusions.  The vector responsible for this patient's current condition can also transmit which of the following organisms?

• A)Borrelia burgdorferi
• B)Dengue virus
• C)Haemophilus influenzae
• D)Histoplasma capsulatum
• E)Neisseria meningitidis
• F)Plasmodium falciparum

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