Nomadic

Multisystem Processes & Disorders


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with a prolonged fever, and an ulcer on his left calf associated with tender ipsilateral inguinal lymphadenopathy. When the history of recent travel to Europe and exposure to wildlife is taken into account, the possibility of an infection demands particular consideration.\n \nKey possibilities in this respect include tularemia, typhus, and cutaneous anthrax, all of which are endemic zoonoses which can be transmitted to humans through infected arthropod vectors.\n \nWhile bubonic plague can present with similar symptoms, the lack of reported cases in Europe for over 20 years (as of writing) make it clinically less likely. However, this diagnosis might need to be considered if the other zoonoses are excluded.\n\nWhile tub"}]}

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