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Several workers at a local fast food restaurant called in sick and reported to the local ambulatory clinic for treatment. All of them complained of extreme fatigue. In addition, another 26-year-old food handler, who returned from visiting his relatives in Costa Rica a month ago, was sick. Within the last 1 or 2 weeks, he had no energy and "just didn't feel well." When he recently visited a physician at a local ambulatory clinic, he was slightly jaundiced.
Laboratory Data:
Food handler's test results-complete blood count, normal
Serum bilirubin level-slightly elevated
Questions:
1. What types of additional laboratory tests could be of value in determining the food handler's source of illness?
2. What are the immunologic manifestations?
3. What is the prognosis in this disease?
4. What are the methods of prevention and prophylaxis?
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