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 |