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May 1983

African Trypanosomiasis in an American Hunter in East Africa

Author Affiliations

From the Division of Infectious Diseases, Department of Medicine, the University of Washington School of Medicine and the Virginia Mason Hospital, Seattle. Dr Quinn is now with the Johns Hopkins Hospital, Baltimore, and the National Institutes of Health, Bethesda, Md.

Arch Intern Med. 1983;143(5):1021-1023. doi:10.1001/archinte.1983.00350050185034

• An American citizen acquired African trypanosomiasis while on a hunting safari in Sudan, East Africa. His travel history and rapid onset of symptoms, including fever, chills, headache, lethargy, and weight loss, were suggestive of Trypanosoma brucei rhodesiense infection, and trypanosomes were demonstrated in routine blood smears and buffy-coat preparations. Despite the presence of headaches, nuchal rigidity, and CSF pleocytosis, he was treated for non-CNS African trypanosomiasis, based on a normal CSF IgM level. This case report, along with a review of previously reported cases of imported African trypanosomiasis, illustrates the Importance of clinical consideration of this rare, but often misdiagnosed, tropical illness in febrile patients returning from Africa.

(Arch Intern Med 1983;143:1021-1023)