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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 346:2069-2076 June 27, 2002 Number 26
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Case 20-2002 — A 37-Year-Old Man with Fever, Hepatosplenomegaly, and a Cutaneous Foot Lesion after a Trip to Africa
Anne C. Moore, M.D., Ph.D., Edward T. Ryan, M.D., and Mary Ann Waldron, B.S.M.T. (ASCP)

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Presentation of Case

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 . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Anne C. Moore's Diagnosis

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Anatomical Diagnosis


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