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A 37-Year-Old Veterinarian Had to Travel into the Brush on Her

Question 19

Multiple Choice

A 37-year-old veterinarian had to travel into the brush on her last farm visit to help deliver a calf. Once home, she discovered a tick attached to the back of her knee. She developed fever about two weeks after the incident. The fever broke after about four days but then returned. She visits her physician, and he orders blood cultures and a complete blood count where a hematologist notes the presence of spiral organisms on the fixed, stained blood smear.
In addition to observation of the organism, what other testing is recommended for determination of the causative agent?


A) No other testing is necessary
B) ELISA
C) Culture in BSK medium
D) Darkfield examination

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