Kuenzli, Esther, and Neumayr, Andreas (2022) A 46 year-old male traveller with chronic cough after a trip to South America. In: Rothe, Camilla, (ed.) Clinical Cases in Tropical Medicine. Elsevier Saunders Ltd, London, UK, pp. 283-285.

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Abstract

A 46-year-old male Swiss traveller spent a 2-week holiday in the border region of Argentine and Brazil. Two weeks after his return, he developed flu-like symptoms and exertional dyspnoea. Ten days after the onset of symptoms, the patient presented at his general practitioner with fever and a pronounced frontal headache. Physical examination did not reveal any abnormalities. The differential blood count was unremarkable and C-reactive protein was only mildly elevated. After ruling out sinusitis by x-ray and dengue fever by serology, the provisional diagnosis of an unspecified viral infection was made.

Over the following 10 days, the patient developed a non-productive dry cough. Chest x-ray revealed an infiltrative process in the right upper lung field ( Fig. 101.1 ). A CT scan of the chest showed a 2 × 4 cm consolidation in the right upper lobe with ipsilateral mediastinal and hilar lymphadenopathy, a discrete right-sided pleural effusion and multiple pulmonary micronodules in both lungs ( Fig. 101.2 ) (100.0°F).

Item ID:	92593
Item Type:	Book Chapter (Scholarly Work)
ISBN:	9780702078798
Copyright Information:	© 2022 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
Date Deposited:	21 Sep 2026 06:45
FoR Codes:	42 HEALTH SCIENCES > 4299 Other health sciences > 429999 Other health sciences not elsewhere classified @ 100%
SEO Codes:	20 HEALTH > 2001 Clinical health > 200199 Clinical health not elsewhere classified @ 100%
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