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Erschienen in: Wiener klinische Wochenschrift 3/2012

01.11.2012 | case report

Coughing and fever after surfing in Central America

verfasst von: Dr. Peter Pongratz, MD, Hermann Laferl, MD, Günther Strau, MD, Univ. Prof. Gerold Stanek, Prim. Univ. Doz. Christoph Wenisch

Erschienen in: Wiener klinische Wochenschrift | Sonderheft 3/2012

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Summary

We report the case of a 19-year-old surfer, returning from Central America, who presented with chronic cough. The X-ray and full blood count, which had been performed in Costa Rica, were without pathology; laboratory parameters showed slightly increased C-reactive protein (59 mg/l). Malaria was excluded by thick smear. Immune serological tests for typhus, paratyphus, brucellosis, rickettsioses, leptospirosis and dengue fever were negative. An ambulant antimicrobial treatment was without any clinical effect. A computer tomography of the thorax showed a solid lesion (30 × 20 mm, middle lobe of the right lung). The patient rejected a bronchoscopic examination. He decided to be treated after his return to Austria. Here, we could substantiate a pulmonal histoplasmosis by a positive immune diffusion test. The patient was successfully treated with itraconazole.
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Metadaten
Titel
Coughing and fever after surfing in Central America
verfasst von
Dr. Peter Pongratz, MD
Hermann Laferl, MD
Günther Strau, MD
Univ. Prof. Gerold Stanek
Prim. Univ. Doz. Christoph Wenisch
Publikationsdatum
01.11.2012
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe Sonderheft 3/2012
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-012-0253-7

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