oa Southern African Journal of Epidemiology and Infection - Fever and skin lesion in a traveller : what is the diagnosis? : case report



A 52-year-old man traveled overland from South Africa to Tanzania via Mozambique and Malawi, where he visited Lake Malawi and the Kasunga National Park. He took mefloquine for malaria chemoprophylaxis, and received pre-travel hepatitis and yellow fever vaccination. During the trip the family camped, swam in Lake Malawi, drank bottled water and ate local food. He gave a history of being bitten by a number of insects, especially mosquitoes, during his travels. He developed fever, rigors, headache and confusion while in Tanzania, six days after having left the Kasunga National Park in Malawi, and he was transferred back to South Africa. There was no cough, diarrhoea, arthralgia or myalgia.


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