A 29-year-old woman comes to the physician because of high-grade fever, headache, and muscle pain. She recently returned from a 3-month trip to India, where she was working with an NGO to build houses in rural areas. The patient had similar symptoms during her first month abroad that improved after several days of treatment. She has no history of a serious illness. Her temperature is 39.3°C (102.7°F), pulse is 102/min, respirations are 22/min, and blood pressure is 112/78 mm Hg. Physical examination shows mild jaundice and hepatosplenomegaly. Laboratory results reveal anemia and elevated indirect bilirubin levelsHer hemoglobin concentration is 10 g/dL. A peripheral blood smear shows fragmented erythrocytes and occasional ring-shaped inclusion bodies within RBCs. This patient's current symptoms are most likely due to reactivation of a dormant infection from which of the following sources?

Question

A 29-year-old woman comes to the physician because of high-grade fever, headache, and muscle pain. She recently returned from a 3-month trip to India, where she was working with an NGO to build houses in rural areas. The patient had similar symptoms during her first month abroad that improved after several days of treatment. She has no history of a serious illness. Her temperature is 39.3°C (102.7°F), pulse is 102/min, respirations are 22/min, and blood pressure is 112/78 mm Hg. Physical examination shows mild jaundice and hepatosplenomegaly.  Laboratory results reveal anemia and elevated indirect bilirubin levelsHer hemoglobin concentration is 10 g/dL. A peripheral blood smear shows fragmented erythrocytes and occasional ring-shaped inclusion bodies within RBCs. This patient's current symptoms are most likely due to reactivation of a dormant infection from which of the following sources?

Quizplus · Accepted Answer

Eductional Objective: Plasmodium vivax is the most common cause of malaria in non-African countries.  It is transmitted by the female Anopheles mosquito and is associated with a latent liver phase that must be treated (with primaquine) independently of the erythrocytic phase to fully eliminate the organism.

A 29-Year-Old Woman Comes to the Physician Because of High-Grade