Gherardin T
Aust Fam Physician. 2000 Mar;29(3):259.
Shirley is a 42 year old woman who has rung you 5 days after returning from a 3 week resort holiday in Malaysia and Thailand. You saw her before her trip and administered a hepatitis A vaccine and advised her that she did not require anti malarial drugs as she was only going to large cities and beach resorts. She says she has had a high fever, headache and body aches for several days and that she feels exhausted, but is well enough to come to the surgery. When you see her later that morning, she looks fairly well, although she is moving rather gingerly. She says she has been resting, is drinking lots of fluids, has some anorexia, but no other significant symptoms. Examination reveals a temperature of 38 degrees C and she has a fine morbilliform rash on her body, limbs and neck. There are no other abnormal findings.
雪莉是一名42岁的女性，她在从马来西亚和泰国为期3周的度假胜地假期归来5天后给你打了电话。你在她旅行前见过她，给她接种了甲肝疫苗，并告知她不需要服用抗疟疾药物，因为她只去大城市和海滩度假胜地。她说她已经持续几天高烧、头痛和身体疼痛，感觉疲惫不堪，但身体状况还足以前来诊所。那天上午晚些时候你见到她时，她看起来还算不错，不过行动相当小心翼翼。她说她一直在休息，喝了很多液体，有一些食欲不振，但没有其他明显症状。检查发现体温为38摄氏度，她的身体、四肢和颈部有细小的麻疹样皮疹。没有其他异常发现。
