title: Of mice and men.
abstract: A case study of a patient returning from sub-Saharan Africa with a febrile illness and symptoms reminiscent of a previous malarial infection is discussed. The patient had a relative bradycardia with respect to febrile episodes, a transient macular rash and thrombocytopenia. The illness was conservatively managed for 1 month before positive Rickettsia serology and PCR results were reported. The patient was then treated with doxycycline with a complete resolution of symptoms.
authors.affiliation: Department of Cardiology, Conquest Hospital, St Leonards-on-Sea, East Sussex, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: D'Silva
authors.forename: Rebecca
authors.initials: R
authors.lastname: Akroyd
authors.forename: Tim
authors.initials: T
authors.lastname: Brooks
authors.forename: Umesh
authors.initials: U
authors.lastname: Dashora
mesh_terms: D000818:Animals; D003937:Diagnosis, Differential; D005335:Fever of Unknown Origin / Q000209:etiology*; D006801:Humans; D016778:Malaria, Falciparum / Q000175:diagnosis*; D016780:Malaria, Vivax / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D051381:Rats; D012286:Rickettsia typhi; D013397:Sudan; D014195:Travel; D014437:Typhus, Endemic Flea-Borne / Q000175:diagnosis* / Q000635:transmission