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A dose of tropical medicine
  1. Uttam Nanda1,2,
  2. Kashif Musharrat1,2
  1. 1Queens Hospital, Burton-on-Trent, UK
  2. 2Burton District Hospitals NHS Trust, Burton-on-Trent, UK
  1. Correspondence to Dr Uttam Nanda, 4, Kennington Oval, Trentham Lakes, Stoke-on-Trent, ST4 8FX, UK; uttam_nanda{at}

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A 43-year-old visitor from India re-presented to the accident and emergency department with a week-long history of fever, which had failed to respond to a course of co-amoxiclav prescribed earlier. Clinical examination, urinalysis, …

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  • Competing interests None.

  • Patient consent Obtained.