Inclusion bodies in tick-borne diseases diagnosed in patients from northern Wisconsin.

Clinical Vignette Case 1 A 65-year-old man from northern Wisconsin, presented to the clinic with complaints of fever, chills, myalgias and severe fatigue. He lived on a farm and frequently visited the woods for hiking. On examination he was found to be febrile without hepatosplenomegaly or lymphadenopathy. His hemoglobin was 8 g/dL, white count was 2.8 with 1100 neutrophils, and the platelet count was 55,000/mm3. A peripheral smear was ordered.