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BOF: 37

A patient presents to you with a history of fever, severe myalgia and sore throat of 4 days duration. He says he has not appetite and has only been taking liquids during this period.

Investigations

Hb 14.5 g/dL

MCV 88fl

Reticulocytes 1 %

WBC 5.5 x 10⁹/L

Platelets 280 x 10⁹/L

Bilirubin 60 mmol/L

Alanine aminotransferase 32 U/L

Alkaline phosphatase 100 U/L

Albumin 42 g/L

Urea 6.5 mmol/L

Creatinine 75mmol/L

Which of the following is most likely to account for these features?

a)      Hereditary spherocytosis

b)      Warm autoimmune haemolytic anaemia

c)      Hepatitis A

d)      Gilbert’s syndrome

e)      Malaria

 

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