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Case #362 - December 2013

A 29-year-old female post-graduate student in Zoology went on an expedition to see the lowland gorillas in the Democratic Republic of Congo. She reported numerous insect bites while traveling but did take anti-malarial prophylaxis. Approximately one week after returning home she developed fever. About a month later, she started experiencing headaches, itchy skin, and swollen lymph nodes and sought medical attention. A blood specimen was collected; smears made and stained with Wright-Giemsa. The objects shown in Figures AD were observed in moderate numbers. What is your diagnosis? Based on what criteria?

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Figure A

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Figure B

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Figure C

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Figure D

Images presented in the monthly case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.

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Page last reviewed: August 24, 2016