Case 11-1994: A 35-Year-Old Ethiopian Man with Splenomegaly and Recurrent Fever

Presentation of Case A 35-year-old man, a native of Ethiopia, was admitted to the hospital because of fever, chills, and splenomegaly. Twelve years before admission he had immigrated to the Sudan, where he remained for 10 years, employed as a tailor. Eight years after arriving in the Sudan he became ill with fever, jaundice, and abdominal pain. Lymphadenopathy and prominent splenomegaly were found. The hemoglobin level was 11 g per deciliter, the white-cell count 7000 per cubic millimeter, and the erythrocyte sedimentation rate 100 mm per hour. Evidence of giardia, ascaris, and Entamoeba histolytica infestation was found in stool specimens, . . .