2nd August 2023

A 33-year-old woman presents with a week-long history of fever and lethargy. She was reluctant to go to the hospital

A 33-year-old woman presents with a week-long history of fever and lethargy. She was reluctant to go to the hospital until her newborn’s health worker attended and found her unwell on a home visit. Her house was unkempt, with cat litter spread all across the floor.

On examination, she has palpable cervical lymphadenopathy. Observations show a low-grade pyrexia, and blood tests reveal a mildly raised eosinophil count. She is normally fit and well.

What is the most likely diagnosis?

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