An eight year old girl with a history of congenital heart disease is found to be anemic

Question Number 0560 
Question:
An eight year old girl with a history of congenital heart disease is found to be anemic and has a low grade fever. Physical examination reveals an enlarged spleen. Petechial hemorrhages are seen under the nails. Eye examination may show retinal hemorrhages with a central area of clearing. The spleen is enlarged. The most likely diagnosis is
a) Lyme disease
b) brucellosis
c) infective endocarditis
d) listeriosis
e) psittacosis


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