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CASE REPORT
Of mice and men
  1. Andrew D'Silva1,
  2. Rebecca Akroyd2,
  3. Tim Brooks3,
  4. Umesh Dashora4
  1. 1Department of Cardiology, Conquest Hospital, St Leonards-on-Sea, East Sussex, UK
  2. 2Conquest Hospital, St Leonards-on-Sea, East Sussex, UK
  3. 3Rare and Imported Pathogens Laboratory, Salisbury, Wiltshire, UK
  4. 4Department of Diabetes and Endocrinology, Conquest Hospital, St Leonards-on-Sea, East Sussex, UK
  1. Correspondence to Dr Andrew D'Silva, adsilva{at}nhs.net

Summary

A case study of a patient returning from sub-Saharan Africa with a febrile illness and symptoms reminiscent of a previous malarial infection is discussed. The patient had a relative bradycardia with respect to febrile episodes, a transient macular rash and thrombocytopenia. The illness was conservatively managed for 1 month before positive Rickettsia serology and PCR results were reported. The patient was then treated with doxycycline with a complete resolution of symptoms.

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