A 25-year-old man from an Andean valley has fever, severe haemolytic anaemia and jaundice after a sandfly bite. What is the causative organism?

Answer and explanation

Correct answer: B. Bartonella bacilliformis

  1. Step 1: Carrion disease, also called Oroya fever, is caused by Bartonella bacilliformis and transmitted by Lutzomyia sandflies. Answer: Bartonella bacilliformis. Why not the others: Plasmodium falciparum, Leishmania braziliensis and Trypanosoma cruzi don't fit.

Practise more Haematology, infectious disease, neurology and rheumatology.

Free questions with an explanation for every one, and full timed ENAM Practice (Peru National Medical Examination) mock tests.