Clinical Cases

A 43-year-old man presents to the infectious disease unit with a 4-week history of fever and lethargy. He has noticed pale bumps associated with a severely red and itchy rash around both his ankles. He reports bloating and myalgia. He has recently returned from a trip to Egypt and reports taking anti-malarials. Observations reveal a temperature of 38.1 °C. On examination, he has an enlarged spleen. Chest X-ray reveals bilateral infiltrates. Blood tests show raised inflammatory markers with marked eosinophilia. What is the most likely diagnosis?

A 7-year-old boy is admitted to hospital after presenting with fever, headache and neck stiffness. A diagnosis of pneumococcal meningitis is made. There are no other reports of meningitis in the local area over the past 4 weeks. How should the close contacts of this boy be managed?

A 24-year-old man is admitted to the Emergency Department with breathing difficulties and confusion three weeks after returning from a holiday in Cambodia. His partner says he has had 'the flu' for the past two weeks. A blood film is positive for malarial parasites and a chest x- ray and arterial blood gases suggest acute respiratory distress syndrome. A diagnosis of severe falciparum malaria is suspected. What is the treatment of choice?

You are counselling a 26-year-old man who has recently had a positive HIV test. His most recent CD4 count is 650 cells/mm^3. Which one of the following vaccinations is contraindicated?

A 34-year-old sewage worker presents with a 3 days history of lower back pain, fever, myalgia, fatigue, jaundice and a subconjunctival haemorrhage. He has no past medical history and has not been abroad in the last 6 months. What is the most likely diagnosis?

MCQs Tropical Medicine:

There is a large, low-density mass involving the right kidney (solid white arrow). extends directly into the right renal vein (dashed white arrow). Spot diagnosis !

This is a coronal image from a CT urogram that demonstrates a low-attenuation mass (arrow) in the upper pole of the right kidney that is homogeneous in density and sharply marginated from the rest of the kidney. Spot diagnosis !

U.s of the bladder,,,, Patient has a history of BPH . Spot diagnosis !

Name this vessel ?