A 44-year-old woman, 35 weeks pregnant with twins, was admitted with 7-day history of fever, weakness, and shortness of breath. Notably in the week before, the patient had been seen twice by her obstetrician and found to have a normal or low blood pressure along with the fever.
Look at the blood smear of the mother’s peripheral blood, what’s your favored diagnosis?
- Malaria
- HELLP syndrome
- Babesiosis
- Thrombotic thrombocytopenic purpura

