RBC Pathology smear treatment algorithm hemolytic macrocytic bacilliformis borrelia clinical oroya

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Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:

Lutzomyia verrucarum Clinical ... anorexia, ARDS • RBC ... lysis → severe hemolytic ... phase: Peripheral smear ... TREATMENT: • Acute

Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever

Hgb 12.5, WBC 14 ... Treatment is tetracycline ... initiation of treatment ... BloodSmear #microscopy #pathology ... #clinical

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