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QUESTION 7

A 23-year-old student in St Louis has returned in January from a trip to the Far East 10 weeks ago and now presents with fever and confusion.


The patient has complained of temperature elevations for several days, and a headache that has become progressively worse. On the fourth day of illness, when his friends visited his apartment and found him to be disoriented and belligerent, they brought him to the emergency room.


The student was part of an academic program that visited Southern China for 3 months, teaching English in rural and urban areas.

He left China 6 weeks ago, spent a week in Tokyo and then visited his parents in San Francisco.


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BOF 22 Jan 2016

By Wong Chen Seong