Fever and Vesicular Rash in a Traveler Returning from South Africa

Mackowiak, Philip A.
September 2004
Clinical Infectious Diseases;9/1/2004, Vol. 39 Issue 5, p700
Academic Journal
A previously healthy 52-year-old woman was referred to an outpatient clinic with a 4-day history of fever, chills, headache, and myalgia. Five days earlier, she had returned from a 3-week visit to Kruger National Park, in South Africa. The patient's temperature was 38.2°C. Physical examination revealed that the patient had a painful neck without signs of meningitis. On her right leg, a vesiculated lesion was noted. On her left arm and left leg, multiple nonpruritic erythematous papular lesions were noted. There was no regional lymphadenopathy. Microscopic examination of thick and thin blood smears revealed no malaria parasites. Antibiotic therapy was instituted.


Related Articles

  • Evidence in Australia for a Case of Airport Dengue. Whelan, Peter; Huy Nguyen; Hajkowicz, Krispin; Davis, Josh; Smith, David; Pyke, Alyssa; Krause, Vicki; Markey, Peter // PLoS Neglected Tropical Diseases;Sep2012, Vol. 6 Issue 9, p1 

    The article presents a case study of a 34-year-old man who was presented to the public hospital in Darwin, Northern Territory with one day history of rash and fever, retro-orbital headache, and prominent myalgia. The patient worked in an industrial zone on the southern boundary of the Darwin...

  • Histoplasmosis in Travelers. Kemper, Carol A. // Infectious Disease Alert;Apr2011, Vol. 30 Issue 7, p82 

    The article discusses the occurrence of pulmonary histoplasmosis in travelers returning from Central America. It cites the case of a 60 year old man diagnosed with carcinoid tumor, bronchiolitis obliterans and histoplasmosis. It indicates the diagnosis of histoplasmosis since 2006 on nine...

  • trench fever. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p758 

    A definition of the term "trench fever" is presented. This term refers to a rare or unknown infectious disease. The bacteria-like microorganism rickettsiae is cited as the cause of the disease. Headache, muscle pains and fever are among the symptoms of the condition, which can be treated by...

  • A study on chikungunya outbreak during 2007 in Kerala, south India. Kannan, M.; Rajendran, R.; Sunish, I. P.; Balasubramaniam, R.; Arunachalam, N.; Paramasivan, R.; Tewari, S. C.; Samuel, P. Philip; Tyagi, B. K. // Indian Journal of Medical Research;Mar2009, Vol. 129 Issue 3, p311 

    Background & objectives: The first chikungunya outbreak occurred in Kerala during 2006 affecting 14 districts, followed by another during May 2007 affecting almost whole of the State. Four of the worst affected districts viz, Pathanamthitta, Idukki, Kottayam and Thrissur were surveyed during...

  • HORSTMAN TECHNIQUE. Goding, David // Good Medicine (Australian Consolidated Press);Feb2004, p70 

    Provides information on horstmann technique therapy for physical and behavioral problems. Details of movements that can unblock the body's energy; History of the technique developed by therapist Trish Trowbridge; Benefits of the technique in relieving muscle pain and headaches.

  • Intracranial Lesion with Fever and Headaches. AGARWAL, ABHISHEK; BANDERUDRAPPAGARI, RAJESH // American Family Physician;6/15/2013, Vol. 87 Issue 12, p877 

    A quiz about the case of a 32-year-old woman who complained of headaches and fevers is presented.

  • How Safe is Chiropractic Care?  // Journal of the American Chiropractic Association;Jul2006, Vol. 43 Issue 5, following p25 

    The article provides information concerning the safety of chiropractic care. It is considered as one of the safest drug-free, non-invasive therapy for the treatment of back pain, neck pain, headache, joint pain of the arms or legs, and other neuromusculoskeletal complaints. It has an excellent...

  • Travel medicine update.  // Pulse;9/21/2006, Vol. 66 Issue 35, p63 

    The article reports on the outbreak of the Crimean Congo hemorrhagic fever (CCHF) in Turkey. As the fever had killed 20 people since its occurrence from January 1 to August 4, 2006, travelers are advised to avoid tick bite by wearing appropriate clothing, using insect repellents and avoiding...

  • African tick-bite fever among international travelers--Oregon, 1998. Neal, S; Cieslak, P; Hedberg, K; Fleming, D // MMWR: Morbidity & Mortality Weekly Report;11/13/1998, Vol. 47 Issue 44, p950 

    Describes two cases of African-tick bite fever (ATBF) diagnosed in the group of persons from Oregon that traveled to Swaziland in April 1998. How the group acquired the disease; Symptoms of ATBF; Treatment given to patients; Importance of pretravel counseling about vectorborne illnesses.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics