A 40-year-old man from Connecticut comes to the physician for a 1-week history of yellow eyes and fatigue. He has no past medical history. He works at an accounting firm. He often goes kayaking. Two years ago he went to the Cayman Islands for a vacation. Temperature is 99.5 F. A blood smear is shown.
Which of the following is the most likely explanation for this patient’s findings?
A) Anaplasmosis
B) Babesiosis
C) Ehrlichiosis
D) Lyme disease
E) Malaria
