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A 37-year-old man was admitted to the Tropical and Geographic Medicine Center of this hospital because of fever and an inflamed foot.
The patient had been in vigorous health three months earlier, when he and his wife began a trip around the world. Initially they traveled throughout Brazil, including the Amazonian basin, up to the border of Peru. During this portion of the trip, the patient and his wife had an episode of fever and diarrhea, all of which resolved within days. They then spent three days in Buenos Aires, Argentina, before flying to the Republic of South Africa, where
Differential Diagnosis
Clinical Diagnosis
Dr. Anne C. Moore's Diagnosis
Pathological Discussion
Anatomical Diagnosis
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