A 28-year-old soldier stationed in the Middle East notices a 0.5-cm papule on his right forearm. After a week, it becomes a 1-cm nodule with a central depression and ulcerates over the next month. Physical examination reveals a 2-cm ulcerated lesion with an indurated border, and three smaller satellite lesions on the forearm, right axillary lymphadenopathy. No hepatosplenomegaly is noted. Laboratory studies show hemoglobin, 14.2 g/dL; hematocrit, 42.5%; platelet count, 235,300/mm3; and WBC count, 6450/mm. Infection with which of the following organisms is the most likely cause for the skin ulcers? Answers A - E A Borrelia burgdorferi B Brugia malayi C Leishmania major D Mycobacterium leprae O O
A 28-year-old soldier stationed in the Middle East notices a 0.5-cm papule on his right forearm. After a week, it becomes a 1-cm nodule with a central depression and ulcerates over the next month. Physical examination reveals a 2-cm ulcerated lesion with an indurated border, and three smaller satellite lesions on the forearm, right axillary lymphadenopathy. No hepatosplenomegaly is noted. Laboratory studies show hemoglobin, 14.2 g/dL; hematocrit, 42.5%; platelet count, 235,300/mm3; and WBC count, 6450/mm. Infection with which of the following organisms is the most likely cause for the skin ulcers? Answers A - E A Borrelia burgdorferi B Brugia malayi C Leishmania major D Mycobacterium leprae O O
Chapter6: Childhood Illnesses
Section: Chapter Questions
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Transcribed Image Text:A 28-year-old soldier stationed in the Middle East notices a 0.5-cm papule on his right forearm. After a week, it becomes a 1-cm nodule with a central
depression and ulcerates over the next month. Physical examination reveals a 2-cm ulcerated lesion with an indurated border, and three smaller
satellite lesions on the forearm, right axillary lymphadenopathy. No hepatosplenomegaly is noted. Laboratory studies show hemoglobin, 14.2 g/dL;
hematocrit, 42.5%; platelet count, 235,300/mm3; and WBC count, 6450/mm. Infection with which of the following organisms is the most likely cause for
the skin ulcers?
Answers A-E
A Borrelia burgdorferi
B Brugia malayi
C Leishmania major
D Mycobacterium leprae
E Trypanosoma cruzi
O
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