23rd May 2024

A 35-year-old man presents with fevers, myalgia and lethargy to the acute medical unit

A 35-year-old man presents with fevers, myalgia and lethargy to the acute medical unit. He returned from Congo 1 week ago. Whilst waiting to be seen he develops seizures, which settle with PR diazepam. His glucose is 2.3. ABG showed pH of 7.1, lactate of 5, PCO2 6.2  kPa, PO2 11 kPa, Hb of 6 g/L, K+ 6. He appears jaundiced. What is the most likely diagnosis.

What is the most likely diagnosis?

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