Author/Editor     Trampuž, Andrej
Title     Bolnik z vročino, izpuščajem, bolečinami za očmi in razjedami v ustih po vrnitvi iz Kenije
Translated title     Case of a patient presenting with fever, rash, retrobulbar pain and oral ulcers after returning from Kenya
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 39, št. 2
Publication year     2000
Volume     str. 213-20
Language     slo
Abstract     The paper describes a case of a 52-year-old patient who presented with a high fever, fatigue, myalgia, retrobulbar headache, a confluent maculopapular rash, conjunctivitis and oral ulcers four days after his return from Kenya. The blood film showed mild leukopenia with a shift to the left, mild thrombocytopenia and elevated hepatic aminotransferases about twu times the normal values. Three consecutive thick blood films showed no malaria parasites. Salmonella heidelberg was isolated from stool cultures. The patient was immediately admitted to the hospital under suspicion of dengue.
Summary     Opisan je 52-letni bolnik, pri katerem so se štiri dni po vrnitvi iz Kenije pojavili visoka vročina, utrujenost, bolečine v mišicah, retrobulbarni glavobol, zlivajoč makulopapulozen izpuščaj, vnetje veznic in razjede v ustih. V krvni sliki smo zaznali blago levkopenijo s pomikom v levo in nakazano trombopenijo ter približno 2-krat povišane vrednosti jetrnih transaminaz. Pregled goste kaplje krvi na povzročitelje malarije je bil trikrat zaporedno negativen. Iz blata smo osamili bakterijo Salmonella heidelberg. Bolnika smo nemudoma sprejeli v bolnišnico s sumom na dengo.
Descriptors     HIV INFECTIONS
HIV SEROPOSITIVITY
TRAVEL
MIDDLE AGE
KENYA
DIAGNOSIS, DIFFERENTIAL