28th July 2023

A 45 year old sheep farmer from Wales presents with 4 weeks of fever, myalgia and cough.

A 45 year old sheep farmer from Wales presents with 4 weeks of fever, myalgia and cough. His blood results show a high white cell count, mild thrombocytopenia, and a transaminitis. Renal function is normal.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.