Make the Diagnosis: Smear Savvy

(MedPage Today) -- Case Findings: A 45-year old male patient with no significant past medical history presents with recurrent fevers, fatigue, arthralgias, and general malaise that have persisted for the past two months. He denies any weight loss, nausea, vomiting, abdominal pain, or headaches. He is a Boy Scout leader who spent the summer chaperoning at a Boy Scout camp. A physical examination shows fever, scleral icterus, and mild hepatosplenomegaly. Laboratory studies reveal anemia, elevated lactate dehydrogenase, thrombocytopenia, elevated total bilirubin, low haptoglobin, reticulocytosis, elevated liver enzymes, and normal white blood cell counts. Imaging studies are unremarkable. The patient was diagnosed with Babesiosis. Which features on the peripheral smear below describe the microscopic appearance of this disease?
Source: MedPage Today Public Health - Category: American Health Source Type: news