The tropics and the crime they did not commit
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- Goorhuis, A., van Thiel, P.P.A.M., Middeldorp, S. et al. Infection (2013) 41: 275. doi:10.1007/s15010-012-0375-x
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Travellers to tropical destinations who seek medical attention after returning to their home country often present with fever, frequently as a result of an imported infectious disease. For this reason, clinicians initially focus on an infectious cause when a clear relationship in time exists between travel and disease onset. We present a case of a patient, who developed fever 2 weeks after his return from Ghana and who was finally diagnosed with an auto-immune disease: arteritis of the large arteries. This case illustrates that broad differential diagnostic thinking is paramount in the assessment of returned travellers.