Image 001 Image 002
Partners Healthcare Systems
Follow us:User Survey - click here for more informationUser Survey - click here for more information
Home Cases Images Atlas My ID Images Search
Help with searching
A returning traveler with two weeks of fever
History of Present Illness
A sailor in his 30s with no significant medical history was admitted to hospital with an 8.2 cm hepatic abscess within the right lobe of the liver. Symptoms started two weeks prior to presentation with fevers, chills and night sweats that progressed to right-upper abdominal quadrant pain. The patient had no headache, neck stiffness, chest pain, shortness of breath, diarrhea, hematochezia, dysuria, extremity swelling or rashes.
Past Medical History
No significant medical history.
Medications
None
Epidemiological History
The patient was born and lived in Nepal until he was a young adult. He immigrated to the United States (U.S.) and lived in the northeast until joining military in his late 20s. His only subsequent travel outside the U.S. was to South Asia a few years prior for one month, and then more recently to the island of Diego Garcia in the Indian Ocean for a military deployment. He had just returned to the U.S. several weeks prior to the onset of symptoms above. He reported multiple stops in Asia on his return trip but noted staying only in hotels. He did report adventurous eating.

Healthcare professionals are advised to seek other sources of medical information in addition to this site when making individual patient care decisions, as this site is unable to provide information which can fully address the medical issues of all individuals.