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USMLE Practice Question for October 29th

A 16-year-old girl who is an exchange student from Panama is brought to the emergency department by her host family because of a high-grade fever and delirium. She has had 2 episodes of similar symptoms during the past 2 years. A peripheral blood smear shows punctate granulations in enlarged erythrocytes containing oval bodies. Which of the following is the most likely causal organism?

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