title: The tropics and the crime they did not commit.
abstract: Travellers to tropical destinations who seek medical attention after returning to their home country often present with fever, frequently as a result of an imported infectious disease. For this reason, clinicians initially focus on an infectious cause when a clear relationship in time exists between travel and disease onset. We present a case of a patient, who developed fever 2 weeks after his return from Ghana and who was finally diagnosed with an auto-immune disease: arteritis of the large arteries. This case illustrates that broad differential diagnostic thinking is paramount in the assessment of returned travellers.
authors.affiliation: Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. a.goorhuis@amc.uva.nl
authors.forename: A
authors.initials: A
authors.lastname: Goorhuis
authors.forename: P P A M
authors.initials: PP
authors.lastname: van Thiel
authors.forename: S
authors.initials: S
authors.lastname: Middeldorp
authors.forename: B L F
authors.initials: BL
authors.lastname: van Eck
authors.forename: M P
authors.initials: MP
authors.lastname: Grobusch
mesh_terms: D001167:Arteritis / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005334:Fever / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D005869:Ghana; D006801:Humans; D008297:Male; D008875:Middle Aged; D049268:Positron-Emission Tomography; D014195:Travel; D016896:Treatment Outcome; D014330:Tropical Medicine