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+--- Thread: calls in sick - okt3 (/showthread.php?tid=380050)
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calls in sick - okt3 - ArchivalUser - 01-23-2009
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
0 - ArchivalUser - 01-23-2009
ddd
0 - ArchivalUser - 01-23-2009
smoke, what do u say about this one?
0 - ArchivalUser - 01-23-2009
waiting smoke to fire this one
0 - ArchivalUser - 01-23-2009
okt3 ? what's the ans?
0 - ArchivalUser - 01-23-2009
Ehrilichiosis loves to infect neutrophils - and the berry thing is pathognomic for it.
0 - ArchivalUser - 01-23-2009
A?
0 - ArchivalUser - 01-23-2009
A is correct, let me find the explanation
0 - ArchivalUser - 01-23-2009
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.
0 - ArchivalUser - 01-23-2009
Damn ure right! Anaplasma infects the granulocytes while Ehrlichia chafeens does monocytes.