RESUMO
We report the case of a 28-year-old man, presenting with episodes of fever and rigours, having recently returned from Cameroon and Uganda. Initial investigations for malaria were negative, and the patient was sent home without a clear diagnosis. Subsequent review of the blood film revealed the presence of Plasmodium ovale. This case highlights the importance of repeated and careful inspection of blood films, given the relatively low sensitivity of rapid diagnostic tests in P. ovale infection. It also illustrates the importance of the travel history in the diagnosis of malaria.
Assuntos
Febre/diagnóstico , Malária/diagnóstico , Viagem , Adulto , Antimaláricos/uso terapêutico , Camarões , Cloroquina/uso terapêutico , Diagnóstico Diferencial , Febre/tratamento farmacológico , Seguimentos , Humanos , Malária/sangue , Masculino , Plasmodium ovale/isolamento & purificação , Primaquina/uso terapêutico , Resultado do Tratamento , UgandaRESUMO
We report the case of a 28-year-old, HIV-positive woman presenting with painful vesicular and ulcerating lesions in the ano-genital region caused by varicella zoster virus that appeared similar to herpes simplex infection. The case highlights that herpes zoster needs to be considered in the differential diagnosis of genital lesions, particularly in HIV-positive individuals, and the importance of virological diagnosis by PCR to direct appropriate management.
