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md90
08-27-2006, 05:15 PM
A 21-year-old woman presents to the clinic with fever, hives, headache, weight loss, and cough. She reports doing field research in Africa with a professor from her university over the summer. When the patient is asked about previous fresh water exposure, she recalls an intense itching reaction within minutes of wading into a river while she was in Africa. Physical examination reveals lymphadenopathy and hepatosplenomegaly.

1. What is the most likely diagnosis?
2. What is the intermediate host of this organism, and what are the reserviors?
3. These organisms are found in which human organs?
4. How is the condition diagnosed?
5. What are the acute and chronic manifestations of this condition?
6. What treatment is most appropriate for this condition?