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P. falciparum

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Case #1: An Adoptee from Ethiopia<br />

4-year-old black international adoptee who presented with<br />

muscle weakness and encephalopathy<br />

Work up is routine, but may also be based on symptoms<br />

Blood Parasites<br />

Laboratory Test Patient’s Test Result<br />

CBC HCT = 30.5%(nl 33-43%)<br />

RBC = 4.46m/uL(nl 3.8-5.4m/uL)<br />

MCV = 68fL (nl 75-95fL)<br />

RDW = 18 (nl 12.1-15.3)<br />

Slight Poikilocytosis<br />

Slight Polychromatophilia<br />

Chemistries and LFT’s Normal<br />

HIV and Hepatitis panel Normal<br />

Stool O&P x 3 No Ova or Parasites detected<br />

Sickle-Dex Positive for Hgb S

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