PAS the foamy WHIPPed cream in a CAN
+PAS stain
+foamy macrophages in intestinal lamina propria
Cardiac symptoms (eg. valve insufficiencies)
(★)chronic cough
(★)Arthralgia (60% of cases)
Neurologic symptoms (eg. myoclonia, ataxia, impairment of oculomotor function)
are common
Later stages →myoclonus, intermittent low-grade fever, pigmentation, and lymphadenopathy
☆antibiotics→ IV ceftriaxone for 2 weeks
Maintenance treatment with oral trimethoprim-sulfamethoxazole for 1 year
gastrointestinal
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