Images in Tropical Medicine Quiz

This is the second in a series of quizzes provided by The American Committee on Clinical Tropical Medicine and Travelers' Health (ACCTMTH), ASTMH's Clinical Group. The images used in the quiz are from the Images in Clinical Tropical Medicine series in the American Journal of Tropical Medicine and Hygiene.

A 14-year-old Ugandan girl had massive, unexplained splenomegaly, lassitude, fever, and weight loss.  Traditional scarification over the left upper quadrant of the abdomen is shown:

Image


Serum refrigerated overnight showed cloudiness:

 

Image


What is the syndrome and the pathological process depicted with the serum.  What would a liver biopsy demonstrate?  What characteristics of antibodies are present in this syndrome?  What is the treatment and prognosis?

Click here for the answer and discussion.

Click here for the first Images in Tropical Medicine Quiz

The American Society of Tropical Medicine and Hygiene (ASTMH), founded in 1903, is a worldwide organization of scientists, clinicians, and program professionals whose mission is to promote global health through the prevention and control of infectious and other diseases that disproportionately afflict the global poor. Learn more about us. Learn more about the ASTMH Clinical Group.