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[Febrile episodes, headache and limb pain as well as generalized myalgia in a 27-year-old returning male traveller]
A Hubler1, A Schibli2, P Locher3
1Klinik für Innere Medizin Triemli, Departement Innere Medizin, Stadtspital Waid und Triemli, Birmensdorferstrasse 497, 8063, Zürich, Schweiz. alexandra.hubler@triemli.zuerich.ch.
Abstract:
Unspecific flu-like symptoms, such as fever, headache and limb pain are encountered very often by general practitioners and in emergency departments. In patients with sepsis and a history of travelling to warmer climates, the differential diagnosis needs to be broader than just commonly encountered viral infections. A 27-year-old Swiss man presented with the symptoms mentioned above after a holiday in the south of France. The pulmonary, hepatic and renal status rapidly deteriorated and the patient required intensive care. The initially suspected diagnosis of leptospirosis could be confirmed serologically during the course of the disease.
Insights
A traveler developed severe flu-like symptoms and organ deterioration after visiting southern France. Doctors confirmed a rare diagnosis of leptospirosis, highlighting the need for broader differential diagnoses in such cases.
Area of Science:
- Infectious Diseases
- Tropical Medicine
- Clinical Case Study
Background:
- Unspecific flu-like symptoms are common presentations in general practice and emergency settings.
- Differential diagnosis for sepsis in travelers returning from warmer climates requires consideration beyond common viral infections.
- Rapid deterioration of pulmonary, hepatic, and renal function necessitates urgent and accurate diagnosis.
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