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+--- Thread: holiday - ulise (/showthread.php?tid=175795)
holiday - ulise - ArchivalUser - 04-02-2007
A 42 year old man presented 10 days after returning from a 8-week holiday in South-East Asia. He had an eight-day history of malaise, chills, headache, sore throat and generalised rash. He had reported many mosquito bites.
He had fever, a macular rash and generalised lymphadenopathy with mild splenomegaly, but no meningism and no eschar present.
Full blood examination revealed lymphocytosis with numerous atypical lymphocytes and thrombocytopenia. Blood cultures and malaria films were negative. Liver function tests revealed marginally elevated serum transaminase levels. Serological testing revealed past infection with Epstein“Barr virus and cytomegalovirus and was negative for Q fever, dengue, rubella, measles and rickettsial infection.
What is the most likely diagnosis?
A. HIV
B. Dengue fever
C. Syphilis
D. Lyme disease
E. Malaria
0 - ArchivalUser - 04-02-2007
Flavivirus caused dengue fever. all other options can be excluded
0 - ArchivalUser - 04-02-2007
10 days after returning is unlickly to be dengue because incubation period is shorter
0 - ArchivalUser - 04-02-2007
26 views and none even try this bside quansar,
A. HIV ????
0 - ArchivalUser - 04-02-2007
i prefer A
serology shows us no dengue,no ricksttiel.
malaria should have red cell changes.
syphilis should menifest chancre or sth else.
0 - ArchivalUser - 04-03-2007
EEEEEEEE
0 - ArchivalUser - 04-03-2007
oops malaria film negetive......can i change my ans?
If ys then i will go for HIV.
0 - ArchivalUser - 04-03-2007
most likely is HIV
0 - ArchivalUser - 04-03-2007
D........lyme's d
0 - ArchivalUser - 04-03-2007
Ans...HIV