title: Pathology Image of the Month: Prolonged Fever in a Traveler.
abstract: A 23 year old Russian male cargo ship crew member arrived in the port of New Orleans after a one month voyage originating in central Africa. During the month at sea, he developed fever up to 103 degrees Fahrenheit which was unsuccessfully managed with the antipyretic, dipyrone. He subsequently developed back and stomach pain, along with diarrhea. Upon the ship's arrival to New Orleans, he was transported to a local hospital where his axillary temperature was 104 degrees Fahrenheit. He was unresponsive, tachycardic and tachypneic with a plasma bicarbonate of 16mmol/L (24-32mmol/L).
authors.affiliation: In the Department of Pathology at Louisiana State University School of Medicine in New Orleans: Dr. Ashby is a second year pathology resident.
authors.forename: Meaghen
authors.initials: M
authors.lastname: Ashby
authors.affiliation: In the Department of Pathology at Louisiana State University School of Medicine in New Orleans: Dr. Moss is a second year pathology resident.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Moss
authors.affiliation: In the Department of Pathology at Louisiana State University School of Medicine in New Orleans, Dr. Farris is a Clinical Associate Professor of Pathology.
authors.forename: K Barton
authors.initials: KB
authors.lastname: Farris
authors.affiliation: In the Department of Pathology at Louisiana State University School of Medicine in New Orleans, Dr. McGoey is an Associate Professor of Pathology and Residency Program Director.
authors.forename: Robin R
authors.initials: RR
authors.lastname: McGoey
mesh_terms: D005334:Fever / Q000209:etiology*; D006801:Humans; D008297:Male; D055820:New Orleans; D014195:Travel