A patient has the following symptoms: a papule, enlarged lymph nodes. Microscopic examination of the papule reveals nucleated cells in white blood cells. The patient most likely has

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The symptoms described (papule and enlarged lymph nodes) are common in cases of leishmaniasis. In addition, the presence of nucleated cells in white blood cells is consistent with the intracellular nature of the Leishmania parasite. The other options do not match the described symptoms and/or microscopic findings.

A Patient Has the Following Symptoms: a Papule, Enlarged Lymph