Zoonoses and arthropod-borne infections

A 44-year-old man who works on the kill floor of an abattoir in central Queensland presents with six days of high fevers, drenching night sweats, severe headach…

Clinical rotations · middle twist

A 7-year-old girl returns from a camping trip in far north Queensland with five days of fever, headache and severe myalgia. There is a 1 cm black-crusted ulcer…

Clinical rotations · niche

A 58-year-old man who works at a piggery near Griffith, New South Wales, is brought in one February with four days of fever and headache and one day of confusio…

Clinical rotations · niche

A 24-year-old man presents with two days of sore throat, fever and increasing difficulty swallowing. He has muffled speech, tender cervical nodes and a grey-whi…

Pre-internship · middle twist

A 32-year-old man presents to an Australian emergency department with fever, headache and myalgia 10 days after returning from Papua New Guinea. He took doxycyc…

Clinical rotations · common

A 9-year-old refugee presents with a sore throat and neck swelling after arriving in Australia from a region with limited vaccination coverage. He is febrile bu…

Pre-internship · middle twist

A 34-year-old man presents with five days of fever, drenching sweats, severe headache behind the eyes and aching muscles. He started work at a rural Queensland…

Clinical rotations · middle twist

A 26-year-old woman who is 9 weeks pregnant is planning a 3-week trip to rural areas of Papua New Guinea. She will stay in local villages and has no psychiatric…

Clinical rotations · middle twist

For how long should doxycycline be continued after leaving a malaria-endemic area?

Clinical rotations · common