| |
Figure 1. The day after returning to Australia from a four-week trip to East Africa, a 30-year-old woman began to have fevers, rigors, and a severe headache. Routine hematologic and biochemical studies were normal, a urine culture was negative, and a peripheral-blood film for malaria was negative. The symptoms persisted, and nausea, vomiting, and myalgia developed. A second peripheral-blood film for malaria was also negative. On examination, the patient had a fever (temperature, 39.5°C), tachycardia, and postural hypotension. The spleen was palpable 1 cm below the costal margin, and there was a macular, erythematous lesion on her inner right thigh that measured . . . [Full Text of this Article] |
|
Previous
