MCQ – 88248

Question

63. A 55-year-old man, who recently returned from a trip to Africa, complains of darkening of his skin, weight loss, and an increased tendency to bleed. His temperature is 38°C (101°F), pulse rate 22 per minute, and blood pressure 90/80 mm Hg. Physical examination reveals a pale cachectic man with massive splenomegaly.CBC shows anemia, thrombocytopenia, and leukopenia. A bone marrow biopsy (silver stain) displays macrophages filled with proliferating organisms. Which of the following infectious diseases is most likely responsible for this patient’s condition?

A.

Bilharziasis 

B. Chagas disease

C.

Cysticercosis

D.

Leishmaniasis

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