A 30-year-old woman from Kenya presents with a 3-week history of fever, headache, and sore throat. She is a healthcare worker. She has generalised lym...

Question

A 30-year-old woman from Kenya presents with a 3-week history of fever, headache, and sore throat. She is a healthcare worker. She has generalised lymphadenopathy, an erythematous maculopapular rash, and oral ulceration. HIV-1/2 antibody test is negative. What is the most likely diagnosis, and what test should be performed?

Accepted Answer

Acute HIV seroconversion illness; HIV p24 antigen or HIV RNA viral load (fourth-generation HIV test)

Answer

Secondary syphilis; RPR and TPHA

Answer

Infectious mononucleosis; EBV serology

Answer

Acute malaria; thick blood film

Answer

Drug reaction; stop all medications

uk-dtmh MCQ (SBA): Acute HIV Seroconversion