Case of the Month - December 2011
Dr Albie de Frey and Mrs Lee Baker
A 30-yr old male returned from a 14-day holiday in Italy having
spent 4 days in Rome and 10 days on the Amalfi beach. He stayed
in a privately rented apartment with a balcony where he often
sat in the late afternoon/early evening.
On the last two days of the holiday he noted the skin lesions
(see photo) on his feet and lower legs.
Four days back in Johannesburg he developed a febrile illness
with night sweats and chills, headache, muscle and joint pain
and malaise. His transaminases were mildly raised but FBC was
normal.
He had all his childhood vaccines but an unremarkable past
medical history since. He did not seek pre-travel advice prior
to departing for Italy as he deemed it unnecessary.
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