Article Text
Summary
A 43-year-old Hispanic woman presented to the clinic complaining of fever, chills and cough for 14 days. The patient reported a recent trip to Asia 12 days prior to presenting symptoms. Given her physical examination findings, she was treated empirically for community acquired pneumonia. Since her symptoms worsened despite the antibiotic, she was referred to the Emergency Department for further evaluation. The patient was ultimately diagnosed with pneumonia and malaria. When evaluating patients with history of recent travel, it is important to consider communicable diseases that are endemic to the areas visited, as well as multiple disease aetiologies for complicated and refractory cases.
- general practice / family medicine
- travel medicine
- tropical medicine (infectious disease)
- pneumonia (infectious disease)
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Footnotes
Contributors LP is the resident physician who initially saw the patient in the clinic, performed the initial literature review and wrote the initial draft of the report. MCMK is the attending physician who initially saw the patient in the clinic, obtained and transcribed the postclinic visit health information for the patient, obtained the patient’s consent to publish the report and helped to edit the final document. She serves as the guarantor for this report. BSS performed the expanded literature review, edited the initial draft and wrote the final draft of this report.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.