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02-11-2010
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Skin lesion from Iraq duty!
A US soldier returned from Iraq with a skin lesion on his right upper arm. The lesion was papular then developed into a nodular 4X5 cm crusting with irregular sharp border. Giemsa stain of biopsy showed inclusions with histiocytes. Which is the most likely infecting organism?
A- Leishmania major B- Strongyloides stercoralis C- Histoplasma capsulatum D- Plasmodium vivax E- Toxoplasma gondii 
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02-11-2010
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Leishmania Major- This is a case of cutaneous Leishmaniasis...
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02-12-2010
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Quote:
Two bugs are commonly seen in soldiers deployed to Iraq. Leishmania and Strongyloides. The case is describing cutaneous leishmania. The inclusions in histiocytes are Donovan bodies.
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| The Following User Says Thank You to rasheed For This Useful Post: | ||
Karrar (02-12-2010)
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02-12-2010
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Agreed - none of the others fit. Leishmania it is.
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| microbiology , step1qpool |
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