Clinical Cases in Tropical Medicine

"This book teaches us to be skilled but pragmatic clinicians, diagnose and treat common and rare conditions. It shows us how to take a simple history and a focussed examination, make efficient use of simple diagnostics tests and investigations which are available in settings with limited resources at your disposition. It covers the investigation, diagnosis, and treatment of common conditions as well as the more complex, rare infectious diseases. Most of all, it teaches us to be empathic, and caring practitioners. It will remind you why you entered the caring profession in the first place."-Conor Maguire (National Immunisation Advisory Committee, Ireland)

• A 20-Year-Old Woman from Sudan With Fever, Haemorrhage and ShockA 7-Year-Old Girl from Peru With a Chronic Skin UlcerA 26-Year-Old Woman from Malawi with Headache, Confusion and Unilateral PtosisA 4-Year-Old Girl from Uganda in a ComaA 4-Year-Old Boy from Laos With a Lesion of the Lip and CheekA 36-Year-Old Male Traveller Returning from Botswana With a Creeping EruptionA 28-Year-Old Male Fisherman from Malawi With Shortness of BreathA 26-Year-Old Female Traveller Returning from Ghana With a Boil on the LegA 52-Year-Old Man from Vietnam With Evolving ShockA 55-Year-Old Indigenous Woman from Australia With a Widespread Exfoliating Rash and SepsisA 45-Year-Old Male Security Guard from Malawi With Difficulties in Walking and Back PainA 29-Year-Old Man from The Gambia With Genital UlcerationA 16-Year-Old Girl from Malawi With Fever and Abdominal PainA 22-Year-Old Woman from Bangladesh With Profuse Watery DiarrhoeaA 3-Year-Old Boy from Laos With Right Suppurative ParotitisA 25-Year-Old Female School Teacher from Malawi With Abrupt Onset of Fever and ConfusionA 34-Year-Old Man from Thailand With Fever and a Papular RashA 56-Year-Old Man Returning from a Trip to Thailand With EosinophiliaA 40-Year-Old Man from Togo With Subcutaneous Nodules and Corneal OpacitiesA 43-Year-Old Male Traveller Returning from Mozambique With Fever and EosinophiliaA 35-Year-Old American Man With Fatigue and a Neck Lesion32-Year-Old Woman from Nigeria With Jaundice and ConfusionA 31-Year-Old HIV-Positive Business Traveller With Cough, Shortness of Breath and Night SweatsA 14-Year-Old Boy from Rural Tanzania With Difficulty in WalkingA 72-Year-Old Male Farmer from Laos With Extensive Skin Lesions on the Lower LegA 14-Year-Old Boy from Malawi Who Has Been Bitten by a SnakeA 16-Year-Old Boy from Sri Lanka With Fever Jaundice and Renal FailureA 67-Year-Old Female Expatriate Living in Cameroon With Eosinophilia and PericarditisA 35-Year-Old Woman from Malawi With Fever and Severe AnaemiaA 12-Year-Old Boy from Rural Kenya With Painful EyesA 6-Year-Old Boy from Malawi With Fever, Cough and Impaired ConsciousnessA 44-Year-Old Male Farmer from Laos With Diabetes and a Back AbscessA 53-Year-Old Man from Malawi With a Chronic CoughA 35-Year-Old Male Farmer from Peru With a Chronic Ulcer and Multiple Nodular Lesions on the ArmA 32-Year-Old Woman from Malawi With Headache and Blurred VisionA 23-Year-Old Farmer from Myanmar With Unilateral Scrotal SwellingA 29-Year-Old Woman from Malawi With Confusion, Diarrhoea and a Skin RashA 24-Year-Old Female Globetrotter With Strange Sensations in the Right Side of Her BodyA 30-Year-Old Male Chinese Trader With Fever in LaosA 62-Year-Old Woman from Ethiopia With Difficulty EatingA 7-Year-Old Girl from West Africa With Two Skin Ulcers and a Contracture of Her Right WristA 41-Year-Old Male Traveller Returning from Australia With Itchy Eruptions on His ThighsA 35-Year-Old Malawian Woman With a Painful Ocular TumourA 7-Year-Old Girl from South Sudan With Undulating FeverA 2-Month-Old Girl from Laos With Dyspnoea, Cyanosis and IrritabilityA 45-Year-Old Man from Sri Lanka With Fever and Right Hypochondrial PainA 32-Year-Old Man from Malawi With a Painfully Swollen NeckA 31-Year-Old Woman from Tanzania With Acute Flaccid ParaplegiaA 33-Year-Old Male Traveller to India With Diarrhoea and Flatulence for Two WeeksA 24-Year-Old Man of Turkish Origin With Jaundice and Cystic Liver LesionsA 34-Year-Old HIV-Positive Woman from Malawi With Slowly Progressive Half-Sided WeaknessA 56-Year-Old Man from Peru With Prolonged Fever and Severe AnaemiaA 24-Year-Old Woman from Uganda With Fever and ShockA 52-Year-Old Male Safari Tourist Returning from South Africa With Fever and a Skin LesionA 40-Year-Old Male Farmer from Peru With Chronic Cough and Weight LossA 21-Year-Old Pregnant Woman from The Gambia With a RashA 37-Year-Old Woman from Malawi With HaematemesisA 25-Year-Old Woman from Egypt With Severe Chronic Diarrhoea and MalabsorptionA 24-Year-Old Man from Malawi With Skin Lesions and BreathlessnessA 6-Year-Old Boy from Malawi With Proptosis of the Left EyeA 48-Year-Old Woman from Thailand With Fever and Disseminated Cutaneous AbscessesA 28-Year-Old Man from Ghana With a Chronic Ulcer on His AnkleA 38-Year-Old European Expatriate Living in Malawi With Difficulty Passing UrineA 40-Year-Old Woman from Thailand and Her Brother-in-Law With Severe HeadacheA 4-Year-Old Girl from Bolivia With a Dark Nodule on Her ToeA 32-Year-Old Man from Malawi With Pain in the Right Upper Abdomen and a Feeling of FaintnessA 24-Year-Old Woman from the Peruvian Andes With Fever and Abdominal PainA 31-Year-Old Woman from Malawi With a Generalized Mucocutaneous RashA 22-Year-Old Male Farmer from Rural Ethiopia With Difficulty WalkingA 58-Year-Old Woman from Sri Lanka With Fever, Deafness and ConfusionA 71-Year-Old Man from Japan With Eosinophilia and a Nodular Lesion in the LungA 4-Year-Old Boy from Mozambique With Severe Oedema and Skin LesionsA 21-Year-Old Male Migrant from Rural Mali With Massive SplenomegalyA 28-Year-Old Woman from Sierra Leone With Fever and ConjunctivitisA 25-Year-Old Woman from Zambia With a New-Onset SeizureA 55-Year Old Woman from Turkey With Fever of Unknown OriginA 51-Year-Old Female Traveller Returning from Central America With Conjunctivitis, Rash and Peripheral OedemaA 42-Year-Old British Man Living in Malawi With Anaphylactic ShockA 34-Year-Old Male Immigrant from Peru With Chronic Diarrhoea and Severe Weight LossA 62-Year-Old Man from Thailand With a Liver MassA 33-Year-Old Refugee from Afghanistan With Recurrent Fever and Back PainA 31-Year-Old Man from Guatemala With Acute Weakness and Numbness of the LegAn 18-Year-Old Man from India With a Pale Patch on His Right Upper LimbA 64-Year-Old Japanese Man With Generalized Tonic-Clonic SeizuresA 55-Year-Old Female Pig Farmer from Vietnam With Fever and Impaired ConsciousnessA 14-Year-Old Girl in the Solomon Islands With a Non-Healing Leg UlcerA 27-Year-Old Male Traveller Returning from the Peruvian Amazon With Persisting PolyarthralgiasA 74-Year-Old Man from Japan With Fever, Nausea and DrowsinessA 30-Year-Old Woman from Bolivia With Exertional DyspnoeaA 55-Year-Old Couple Both Returning from Chile and Argentina With Acute Respiratory Distress SyndromeA 20-Year-Old Male from India With Fever and QuadriparesisA 42-Year-Old Traveller Returning from Thailand With Fever and ThrombocytopeniaA 35-Year-Old Male Logger from Peru With Fever, Jaundice and BleedingA 20-Year-Old Woman from the Democratic Republic of the Congo With Fever and a Vesiculopustular Skin RashA 42-Year-Old Male Refugee from the Democratic Republic of the Congo With Progressive DepressionA 19-Year-Old Boy from India With Drooping, Diplopia and DysphagiaAn 87-Year-Old Japanese Man With a Serpiginous Erythema on the Right ThighA 17-Year-Old Boy from South India With a Fever and a Reduced Level of ConsciousnessA 43-Year-Old Male Traveller Returning from the Australian Outback with Fever, Joint Pains and a RashA 25-Year-Old Man from Ethiopia With a Nodular RashA 46-Year-Old Male Traveller with Chronic Cough After a Trip to South AmericaA 16-Year-Old Male Refugee from Somalia With High Fever and Slurred SpeechA 43-Year-Old Man from Peru With a Chronic Fistulating Foot Lesion