A traveller returning from sub-Saharan Africa presents with fever and splenomegaly. Malaria films are negative on three occasions. He also has general...

Question

A traveller returning from sub-Saharan Africa presents with fever and splenomegaly. Malaria films are negative on three occasions. He also has generalised lymphadenopathy and a macular rash. He reports a tsetse fly bite 2 weeks ago while on safari. What test should be performed to investigate for trypanosomiasis?

Accepted Answer

Examination of lymph node aspirate (from posterior cervical nodes if gambiense suspected, or any enlarged node for rhodesiense) and/or buffy coat examination for trypanosomes

Answer

Stool microscopy

Answer

Urine dipstick

Answer

Sputum AFB

Answer

Blood cultures for bacteria

uk-dtmh MCQ (SBA): HAT Parasitological Diagnosis