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Discussion Starter · #1 ·
A 30 year old single man presented with a week history of fever, sore throat, maculopapular rash on trunk and cervical lymphadenopathy. Only pastmedical history comprised of treatment for urethritis 2 weeks ago following a trip abroad. The patient has mild anaemia, lymphopenia and thrombocytopenia. This is his blood film.

Purple Textile Organism Violet Pink
click image to enlarge

What is the most likely diagnosis?

A) Mumps
B) Rubella
C) Drug reaction
D) HIV
E) Leukemia
 

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I think drug reaction mostly by SMX TMP
or penicillin used in tt of his urethritis....
 

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Discussion Starter · #3 ·
What do you think of peripheral blood film?

Good thought, but it's actually not a right answer though!
 

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Discussion Starter · #5 ·
Blood film shows atypical lymphocytes which is the clue!
 

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Discussion Starter · #7 ·
Drarnab,

Surely leukemia is a differential dianosis where a typical lymphocytes can be found in boold film.

This actually is a case of HIV seroconversion!

"single man" "Urethritis" are clues-suggesting towards sexually transmitted diseases!
 

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Drarnab,

Surely leukemia is a differential dianosis where a typical lymphocytes can be found in boold film.

This actually is a case of HIV seroconversion!

"single man" "Urethritis" are clues-suggesting towards sexually transmitted diseases!
Interesting - i would never have thought that it would be most likely though! .....
 
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