Difficult Diagnosis of Malaria

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  • Department of Internal Medicine, College of Medicine, The University of Iowa, and Iowa City Veterans Administration Hospital, Iowa City, Iowa 52240
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Symptoms suggested malaria in a patient who had recently returned to the United States from Africa, but blood smears were persistently negative for malaria parasites. The diagnosis was established in an unusual way when a laboratory technician detected malaria parasites in a lupus erythematosus cell preparation.