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Two weeks after her arrival on the island, she calls in sick, complaining of fever, headache, and muscle soreness. After three days of self-medication with over-the-counter drugs and no symptomatic improvement, she seeks medical attention at a local emergent care clinic. The physician who sees her finds her to be mildly febrile and tachycardic, but finds no evidence of pharyngitis, abnormal breath sounds, or skin rash. A blood film is notable for the presence of multiple, berry-like cytoplasmic inclusion bodies in her granulocytes. What is the most likely causative agent?

A. Anaplasma phagocytophilum

B. Bartonella henselae

C. Coxiella burnetii

D. Ehrlichia chafeensis

E. Rickettsia rickettsiae

ddd

smoke, what do u say about this one?

waiting smoke to fire this one

okt3 ? what's the ans?

Ehrilichiosis loves to infect neutrophils - and the berry thing is pathognomic for it.

A?

A is correct, let me find the explanation

OKT - u sure about A - Ehrlichiosis presents just like ricketsiae minus the rash - and has berry like inclusions in neutrophils. They are pathognomic for it.

Damn ure right! Anaplasma infects the granulocytes while Ehrlichia chafeens does monocytes.