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Review Question - QID 210964

Mononucleosis Complications Splenic rupture QID: 210964 (M2.OMB.18.4757)
In scope icon M 8 C
QID 210964 (Type "210964" in App Search)
A 24-year-old man presents to his primary care physician with a chief complaint of feeling ill. The patient just returned from a trip to the Amazon where he was sampling different water sources for his thesis. He has been experiencing fevers, abdominal pain, nausea, and vomiting. His temperature is 101.3°F (38.5°C), blood pressure is 115/70 mmHg, pulse is 91/min, respirations are 14/min, and oxygen saturation is 97% on room air. The patient is worked up for his pathology and ultimately treated with mefloquine. During his workup, the patient had a peripheral smear performed as seen in Figure A. Laboratory values were performed as seen below:

Hemoglobin: 15 g/dL
Hematocrit: 42%
Leukocyte count: 9,500 cells/mm^3 with normal differential
Platelet count: 525,000/mm^3

Which of the following most likely led to the hematologic findings in this patient?
  • A
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  • A