A young man returning from a long track through the Middle East has prolonged fever, progressive weight loss

on Sunday, July 3, 2011

Question Number 0395

Question:
A young man returning from a long track through the Middle East has prolonged fever, progressive weight loss, weakness, pronounced splenomegaly, hepatomegaly, anemia, leukopenia, and hypergammaglobulinemia. Splenic puncture reveals amastigotes. The most likely diagnosis is

a) endocarditis
b) subacute thyroiditis
c) systemic lupus erythematosus
d) lymphoma
e) visceral leishmaniasis


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