Bouma, H R

Kloppenburg, W D

English

ARTS repository - University of Groningen

   University of GroningenFever and painful skin lesions after a holiday in GambiaBouma, H R; Kloppenburg, W DPublished in:The Netherlands Journal of MedicineIMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite fromit. Please check the document version below.Document VersionPublisher's PDF, also known as Version of recordPublication date:2017Link to publication in University of Groningen/UMCG research databaseCitation for published version (APA):Bouma, H. R., & Kloppenburg, W. D. (2017). Fever and painful skin lesions after a holiday in Gambia. TheNetherlands Journal of Medicine, 75(1), 41-42.http://www.njmonline.nl/article_ft.php?a=1805&d=1199&i=202CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of theauthor(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license.More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne-amendment.Take-down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediatelyand investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons thenumber of authors shown on this cover page is limited to 10 maximum.Download date: 13-02-202341J A N U A R Y  2 0 1 7 ,  V O L .  7 5 ,  N O .  1© Van Zuiden Communications B.V. All rights reserved.The Netherlands Journal of MedicineP H O T O  Q U I ZFever and painful skin lesions after a holiday in GambiaH.R. Bouma1,2*, W.D. Kloppenburg11Department of Internal Medicine, Martini Hospital Groningen, Groningen, the Netherlands, 2Department of Clinical Pharmacy & Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands, *corresponding author: tel.: +31 (0)50-3617870,  email: h.r.bouma@umcg.nl C A S E  R E P O R TA 19-year-old man visited our emergency department because of high fever, headache and painful skin lesions one day after returning from a two-week holiday in Gambia. One week ago, a small itching bug-bite-like lesion appeared on his right lower leg, which gradually increased in size. At presentation to our emergency department, he had an ill appearance and a body temperature of 39.8°C. Two large erythematous lesions with diffuse borders, a central boil-like furuncle and oedema formation were seen on his right lower leg (figure 1). The patient had a painful, mobile, weak-elastic, round lump, 2 cm in diameter, in his right groin. Laboratory analysis revealed leukocytosis (15.3 x 109/l, of which 13.4 x 109/l neutrophils) and an increased C-reactive protein (51 mg/l). The remainder of the examination did not reveal any relevant abnormalities. W H A T  I S  Y O U R  D I A G N O S I S ?See page 42 for the answer to this photo quiz.Figure 1. Skin lesion on the lower leg

Fever and painful skin lesions after a holiday in Gambia

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Fever and painful skin lesions after a holiday in Gambia

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