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Now, an adult male age 50 develops insidious onset of a severe infectious disease. The condition is characterized initially by high fever, headache, pharyngitis, and arthralgias. The patient then goes on to develop intestinal complaints of constipation, anorexia, and abdominal pain and tenderness. During the second week of the illness, he has a rash with discrete pink, blanching lesions (rose spots) on the chest and abdomen. The rash resolves about three days later. By the third week of the disease, the patient appears very ill and has developed a florid diarrhea that is positive for occult blood. During this same period, the man also develops secondary pneumococcal pneumonia. At the height of the patient's illness, he was stuporous and had short periods of delirium. The spleen was palpable during this period. Blood studies demonstrate leukopenia, anemia, liver function abnormalities, and a mild consumption coagulopathy. He has a recent history of travel. Dx.,please? 1-Abdominal abscess 2-Amebiasis 3-Brucellosis 4-Dengue Fever 5-Influenza 6-Leishmaniasis 7-Malaria 8-Typhoid Fever 9-Toxoplasmosis 10-Tuberculosis 11-Tularemia 12-Cholera 13-Bubonic Plague

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Subject: Tommy's Concepts

Question

Now, an adult male age 50 develops insidious onset of a severe infectious disease. The condition is characterized initially by high fever, headache, pharyngitis, and arthralgias. The patient then goes on to develop intestinal complaints of constipation, anorexia, and abdominal pain and tenderness. During the second week of the illness, he has a rash with discrete pink, blanching lesions (rose spots) on the chest and abdomen. The rash resolves about three days later. By the third week of the disease, the patient appears very ill and has developed a florid diarrhea that is positive for occult blood. During this same period, the man also develops secondary pneumococcal pneumonia. At the height of the patient's illness, he was stuporous and had short periods of delirium. The spleen was palpable during this period. Blood studies demonstrate leukopenia, anemia, liver function abnormalities, and a mild consumption coagulopathy. He has a recent history of travel. Dx.,please?
1-Abdominal abscess
2-Amebiasis
3-Brucellosis
4-Dengue Fever
5-Influenza
6-Leishmaniasis
7-Malaria
8-Typhoid Fever
9-Toxoplasmosis
10-Tuberculosis
11-Tularemia
12-Cholera
13-Bubonic Plague

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