Clinical Cases in Tropical Medicine

1. Cover image - p. page_i 2. Title page - p. page_i 3. Table of Contents - p. page_i 4. Copyright - p. page_iv 5. Foreword - p. page_x 6. Preface - p. page_xii 7. List of Contributors - p. page_xiii 8. Acknowledgements - p. page_xxi 9. 1: A 20-Year-Old Woman from Sudan With Fever, Haemorrhage and Shock - p. page_1 10. 2: A 7-Year-Old Girl from Peru With a Chronic Skin Ulcer - p. page_4 11. 3: A 26-Year-Old Woman from Malawi with Headache, Confusion and Unilateral Ptosis - p. page_7 12. 4: A 4-Year-Old Girl from Uganda in a Coma - p. page_10 13. 5: A 4-Year-Old Boy from Laos With a Lesion of the Lip and Cheek - p. page_13 14. 6: A 36-Year-Old Male Traveller Returning from Botswana With a Creeping Eruption - p. page_15 15. 7: A 28-Year-Old Male Fisherman from Malawi With Shortness of Breath - p. page_17 16. 8: A 26-Year-Old Female Traveller Returning from Ghana With a Boil on the Leg - p. page_20 17. 9: A 52-Year-Old Man from Vietnam With Evolving Shock - p. page_22 18. 10: A 55-Year-Old Indigenous Woman from Australia With a Widespread Exfoliating Rash and Sepsis - p. page_24 19. 11: A 45-Year-Old Male Security Guard from Malawi With Difficulties in Walking and Back Pain - p. page_26 20. 12: A 29-Year-Old Man from The Gambia With Genital Ulceration - p. page_30 21. 13: A 16-Year-Old Girl from Malawi With Fever and Abdominal Pain - p. page_32 22. 14: A 22-Year-Old Woman from Bangladesh With Profuse Watery Diarrhoea - p. page_34 23. 15: A 3-Year-Old Boy from Laos With Right Suppurative Parotitis - p. page_37 24. 16: A 25-Year-Old Female School Teacher from Malawi With Abrupt Onset of Fever and Confusion - p. page_40 25. 17: A 34-Year-Old Man from Thailand With Fever and a Papular Rash - p. page_43 26. 18: A 56-Year-Old Man Returning from a Trip to Thailand With Eosinophilia - p. page_46 27. 19: A 40-Year-Old Man from Togo With Subcutaneous Nodules and Corneal Opacities - p. page_49 28. 20: A 43-Year-Old Male Traveller Returning from Mozambique With Fever and Eosinophilia - p. page_52 29. 21: A 35-Year-Old American Man With Fatigue and a Neck Lesion - p. page_55 30. 22: 32-Year-Old Woman from Nigeria With Jaundice and Confusion - p. page_58 31. 23: A 31-Year-Old HIV-Positive Business Traveller With Cough, Shortness of Breath and Night Sweats - p. page_61 32. 24: A 14-Year-Old Boy from Rural Tanzania With Difficulty in Walking - p. page_64 33. 25: A 72-Year-Old Male Farmer from Laos With Extensive Skin Lesions on the Lower Leg - p. page_67 34. 26: A 14-Year-Old Boy from Malawi Who Has Been Bitten by a Snake - p. page_70 35. 27: A 16-Year-Old Boy from Sri Lanka With Fever, Jaundice and Renal Failure - p. page_73 36. 28: A 67-Year-Old Female Expatriate Living in Cameroon With Eosinophilia and Pericarditis - p. page_76 37. 29: A 35-Year-Old Woman from Malawi With Fever and Severe Anaemia - p. page_79 38. 30: A 12-Year-Old Boy from Rural Kenya With Painful Eyes - p. page_82 39. 31: A 6-Year-Old Boy from Malawi With Fever, Cough and Impaired Consciousness - p. page_85 40. 32: A 44-Year-Old Male Farmer from Laos With Diabetes and a Back Abscess - p. page_87 41. 33: A 53-Year-Old Man from Malawi With a Chronic Cough - p. page_90 42. 34: A 35-Year-Old Male Farmer from Peru With a Chronic Ulcer and Multiple Nodular Lesions on the Arm - p. page_93 43. 35: A 32-Year-Old Woman from Malawi With Headache and Blurred Vision - p. page_96 44. 36: A 23-Year-Old Farmer from Myanmar With Unilateral Scrotal Swelling - p. page_99 45. 37: A 29-Year-Old Woman from Malawi With Confusion, Diarrhoea and a Skin Rash - p. page_102 46. 38: A 24-Year-Old Female Globetrotter With Strange Sensations in the Right Side of Her Body - p. page_105 47. 39: A 30-Year-Old Male Chinese Trader With Fever in Laos - p. page_108 48. 40: A 62-Year-Old Woman from Ethiopia With Difficulty Eating - p. page_111 49. 41: A 7-Year-Old Girl from West Africa With Two Skin Ulcers and a Contracture of Her Right Wrist - p. page_113 50. 42: A 41-Year-Old Male Traveller Returning from Australia With Itchy Eruptions on His Thighs - p. page_116 51. 43: A 35-Year-Old Malawian Woman With a Painful Ocular Tumour - p. page_118 52. 44: A 7-Year-Old Girl from South Sudan With Undulating Fever - p. page_121 53. 45: A 2-Month-Old Girl from Laos With Dyspnoea, Cyanosis and Irritability - p. page_124 54. 46: A 45-Year-Old Man from Sri Lanka With Fever and Right Hypochondrial Pain - p. page_126 55. 47: A 32-Year-Old Man from Malawi With a Painfully Swollen Neck - p. page_129 56. 48: A 31-Year-Old Woman from Tanzania With Acute Flaccid Paraplegia - p. page_132 57. 49: A 33-Year-Old Male Traveller to India With Diarrhoea and Flatulence for Two Weeks - p. page_135 58. 50: A 24-Year-Old Man of Turkish Origin With Jaundice and Cystic Liver Lesions - p. page_138 59. 51: A 34-Year-Old HIV-Positive Woman from Malawi With Slowly Progressive Half-Sided Weakness - p. page_141 60. 52: A 56-Year-Old Man from Peru With Prolonged Fever and Severe Anaemia - p. page_144 61. 53: A 24-Year-Old Woman from Uganda With Fever and Shock - p. page_147 62. 54: A 52-Year-Old Male Safari Tourist Returning from South Africa With Fever and a Skin Lesion - p. page_149 63. 55: A 40-Year-Old Male Farmer from Peru With Chronic Cough and Weight Loss - p. page_152 64. 56: A 21-Year-Old Pregnant Woman from The Gambia With a Rash - p. page_155 65. 57: A 37-Year-Old Woman from Malawi With Haematemesis - p. page_157 66. 58: A 25-Year-Old Woman from Egypt With Severe Chronic Diarrhoea and Malabsorption - p. page_160 67. 59: A 24-Year-Old Man from Malawi With Skin Lesions and Breathlessness - p. page_162 68. 60: A 6-Year-Old Boy from Malawi With Proptosis of the Left Eye - p. page_165 69. 61: A 48-Year-Old Woman from Thailand With Fever and Disseminated Cutaneous Abscesses - p. page_167 70. 62: A 28-Year-Old Man from Ghana With a Chronic Ulcer on His Ankle - p. page_170 71. 63: A 38-Year-Old European Expatriate Living in Malawi With Difficulty Passing Urine - p. page_173 72. 64: A 40-Year-Old Woman from Thailand and Her Brother-in-Law With Severe Headache - p. page_176 73. 65: A 4-Year-Old Girl from Bolivia With a Dark Nodule on Her Toe - p. page_179 74. 66: A 32-Year-Old Man from Malawi With Pain in the Right Upper Abdomen and a Feeling of Faintness - p. page_181 75. 67: A 24-Year-Old Woman from the Peruvian Andes With Fever and Abdominal Pain - p. page_183 76. 68: A 31-Year-Old Woman from Malawi With a Generalized Mucocutaneous Rash - p. page_186 77. 69: A 22-Year-Old Male Farmer from Rural Ethiopia With Difficulty Walking - p. page_189 78. 70: A 58-Year-Old Woman from Sri Lanka With Fever, Deafness and Confusion - p. page_192 79. 71: A 71-Year-Old Man from Japan With Eosinophilia and a Nodular Lesion in the Lung - p. page_195 80. 72: A 4-Year-Old Boy from Mozambique With Severe Oedema and Skin Lesions - p. page_200 81. 73: A 21-Year-Old Male Migrant from Rural Mali With Massive Splenomegaly - p. page_202 82. 74: A 28-Year-Old Woman from Sierra Leone With Fever and Conjunctivitis - p. page_205 83. 75: A 25-Year-Old Woman from Zambia With a New-Onset Seizure - p. page_208 84. 76: A 55-Year Old Woman from Turkey With Fever of Unknown Origin - p. page_212 85. 77: A 51-Year-Old Female Traveller Returning from Central America With Conjunctivitis, Rash and Peripheral Oedema - p. page_214 86. 78: A 42-Year-Old British Man Living in Malawi With Anaphylactic Shock - p. page_217 87. 79: A 34-Year-Old Male Immigrant from Peru With Chronic Diarrhoea and Severe Weight Loss - p. page_220 88. 80: A 62-Year-Old Man from Thailand With a Liver Mass - p. page_223 89. 81: A 33-Year-Old Refugee from Afghanistan With Recurrent Fever and Back Pain - p. page_226 90. 82: A 31-Year-Old Man from Guatemala With Acute Weakness and Numbness of the Leg - p. page_229 91. 83: An 18-Year-Old Man from India With a Pale Patch on His Right Upper Limb - p. page_232 92. 84: A 64-Year-Old Japanese Man With Generalized Tonic-Clonic Seizures - p. page_234 93. 85: A 55-Year-Old Female Pig Farmer from Vietnam With Fever and Impaired Consciousness - p. page_237 94. 86: A 14-Year-Old Girl in the Solomon Islands With a Non-Healing Leg Ulcer - p. page_240 95. 87: A 27-Year-Old Male Traveller Returning from the Peruvian Amazon With Persisting Polyarthralgias - p. page_242 96. 88: A 74-Year-Old Man from Japan With Fever, Nausea and Drowsiness - p. page_245 97. 89: A 30-Year-Old Woman from Bolivia With Exertional Dyspnoea - p. page_247 98. 90: A 55-Year-Old Couple Both Returning from Chile and Argentina With Acute Respiratory Distress Syndrome - p. page_250 99. 91: A 20-Year-Old Male from India With Fever and Quadriparesis - p. page_253 100. 92: A 42-Year-Old Traveller Returning from Thailand With Fever and Thrombocytopenia - p. page_256 101. 93: A 35-Year-Old Male Logger from Peru With Fever, Jaundice and Bleeding - p. page_259 102. 94: A 20-Year-Old Woman from the Democratic Republic of the Congo With Fever and a Vesiculopustular Skin Rash - p. page_262 103. 95: A 42-Year-Old Male Refugee from the Democratic Republic of the Congo With Progressive Depression - p. page_265 104. 96: A 19-Year-Old Boy from India With Drooping, Diplopia and Dysphagia - p. page_268 105. 97: An 87-Year-Old Japanese Man With a Serpiginous Erythema on the Right Thigh - p. page_271 106. 98: A 17-Year-Old Boy from South India With a Fever and a Reduced Level of Consciousness - p. page_274 107. 99: A 43-Year-Old Male Traveller Returning from the Australian Outback with Fever, Joint Pains and a Rash - p. page_277 108. 100: A 25-Year-Old Man from Ethiopia With a Nodular Rash - p. page_280 109. 101: A 46-Year-Old Male Traveller with Chronic Cough After a Trip to South America - p. page_283 110. 102: A 16-Year-Old Male Refugee from Somalia With High Fever and Slurred Speech - p. page_286 111. 103: A 43-Year-Old Man from Peru With a Chronic Fistulating Foot Lesion - p. page_289 112. Index - p. page_292