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Pathology Image of the Month: Prolonged Fever in a Traveler
Meaghen Ashby1, Stephanie Moss2, K Barton Farris3
1In the Department of Pathology at Louisiana State University School of Medicine in New Orleans: Dr. Ashby is a second year pathology resident.
Abstract:
A 23 year old Russian male cargo ship crew member arrived in the port of New Orleans after a one month voyage originating in central Africa. During the month at sea, he developed fever up to 103 degrees Fahrenheit which was unsuccessfully managed with the antipyretic, dipyrone. He subsequently developed back and stomach pain, along with diarrhea. Upon the ship's arrival to New Orleans, he was transported to a local hospital where his axillary temperature was 104 degrees Fahrenheit. He was unresponsive, tachycardic and tachypneic with a plasma bicarbonate of 16mmol/L (24-32mmol/L).
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