A young man, home on leave from the military, went camping in the woods to detect deer movement for future hunting. Ten days later, he developed fever, malaise, and myalgia. Leukopenia and thrombocytopenia were observed, as well as several tick bites. Which of the following statements best describes human monocytic ehrlichiosis (HME)?
AIt is a fatal disease transmitted by the bite of a dog
BClinical diagnosis is based on the presence of erythema migrans (EM)
CDiagnosis is usually made serologically but morulae may be seen in the cytoplasm of monocytes
DSymptoms include vomiting and paralysis
Soft tick transmits:
ATularemia
BIndian tick typhus
CRelapsing fever
DKFD
A farmer presents with severe leg pain, fever, chills, retro-orbital pain, and bilateral conjunctival suffusion. What is the most likely diagnosis?
ADengue fever
BLeptospirosis
CMalaria
DRickettsia infection
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