PROBLEM - must identify parasite

KARWATSKY,JOEL MICHEAL,MR XKE9000 at MUSICB.MCGILL.CA
Tue Jan 16 22:25:59 EST 1996


I must identify the parasite responsible for these symptoms and
situation.
Large number of patients, primarily children, have been affected.
The symptoms are malaise, fever spikes, and abdominal swelling.  On
examination, patients are found to have splenomegaly and hepatomegaly.
Sometimes there is an acute onset which closely mimics a malaria attack,
but malaria has been ruled out.  Some patients present with diarrhoea.
There is a progressive loss of weight and a darkening of the skin around
the mouth, temples and forehead.  Blood picture shows anemia and
leucopenia with darkly nuclear stain particularily with macrophages.
Survivors frequently have skin modules resembling leporsy.  Dogs in the
area have had similar symptoms.

I think it may be Rickettsias  - maybe Ehrlichia canis
        or maybe  Chagas' disease from Schizotrypanum cruzi
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