Infection

, Volume 41, Issue 1, pp 275–277

The tropics and the crime they did not commit

  • A. Goorhuis
  • P. P. A. M. van Thiel
  • S. Middeldorp
  • B. L. F. van Eck
  • M. P. Grobusch
Case Report

DOI: 10.1007/s15010-012-0375-x

Cite this article as:
Goorhuis, A., van Thiel, P.P.A.M., Middeldorp, S. et al. Infection (2013) 41: 275. doi:10.1007/s15010-012-0375-x

Abstract

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.

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • A. Goorhuis
    • 1
  • P. P. A. M. van Thiel
    • 1
  • S. Middeldorp
    • 1
  • B. L. F. van Eck
    • 1
  • M. P. Grobusch
    • 1
  1. 1.Academic Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands