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 Best of Five 248

 

   

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BOF: 248

A 27-year-old male presents with fever and loss of weight. He has spent several months traveling across the countries around the Mediterranean, Africa and Asia. He admits that he did not bother about protecting himself from insect bites and was frequently bitten.

On examination he appears to have lost weight, his skin is pigmented and he has lymphadenopathy and hepatosplenomegaly. Haematology  shows pancytopaenia.

Aspirates are taken from bone marrow and Giemsa stained smears of these aspirates show amastigotes.

In this patient the infecting organism is likely to be:

a)      Leishmania donovani

b)      Leishmania tropica

c)      Leishmania aethiopica

d)      Leishmania major

e)      Leishmania garnhami

 

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