Case Presentation: A 20-year-old Guyanese female of Indian descent presented with a five-day history of fever and left upper quadrant abdominal pain, associated with abdominal distension. Physical examination was remarkable for fever of 103F, conjunctival icterus, left upper quadrant tenderness, and splenomegaly. Laboratory data revealed hemoglobin (Hb) of 6.5g/dl, mean corpuscular volume (MCV) 64.8fl, mean [...]