Discussions By Condition: I cannot get a diagnosis.

recurrent fever after Borneo trip, no malaria!

Posted In: I cannot get a diagnosis. 12 Replies
  • Posted By: frankjacobs
  • May 21, 2007
  • 03:47 PM

My friend and I have been to central Borneo for a jungle trekking trip of over 3 weeks. On the way back to Holland, he started to express signs of fever (including headache), and reported to be extremely tired. At this stage, doctors checked for malaria and dengue, both negative.

2 days later, everything was fine again, for a period of 3 or 4 days, when suddenly the fever returned for 2 days again. After this period, the fever was gone again for 3 or 4 days, but he still had a general feeling of malaise.

after this stage, the fever returned again, and is still there for 4 days already. We have been seeing a doctor today where bloodsamples have been taken again. They have found that again malaria is negative, and the liver shows some signs of damage (like in hepatitis). They will check for a set of diseases in the coming week.

Now some things that may be important for the diagnosis:

1) The fever fluctuates heavily, sometimes it's close to 37, and then close to 39.5, but never really high.
2) He does not feel very ill or tired, but stays in bed most of the time
3) we both had a infected (painful) lymfenode and vessel AFTER we got back from the trip on different spots however..
4) we have not been bitten a lot by insects, but massively by leeches though
5) my friend has had obstipation days before the first fever symptoms, but no diahrrea or other stomach problems ever since.

I hope someone recognizs the pattern of symptoms and give us a hint to what can be causing these symptoms.

Thanks a lot,

Frank jacobs, Utrecht, The Netherlands

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12 Replies:

  • Get stool checked for parasites. That may not be it, but since it could (doesn't always show bowel changes) it needs at least to be ruled out, since it could be. Anna
    Anna cat 13 Replies Flag this Response
  • Frank...CFS/ME? viral...
    mommy cat 1654 Replies Flag this Response
  • I agree with getting a full stool test to check for giarrdia, e coli, parasites and other bacteria. I would suggest finding a specialist in infectious diseases. It would also be helpful to find an Oriental Medical practitioner who is a certified Chinese herbalist - there are some very good herbs with antiviral/antibacterial/antifungal properties, which can also help improve liver function. www.acufinder.com has practitioners listed all over the world. This suggestion is of course in addition to getting Western diagnostic tests. Best wishesDOM
    acuann 3080 Replies Flag this Response
  • Try a specialist in Travel Medicine.
    AgnosticJaz 23 Replies Flag this Response
  • Paracites.
    Monsterlove 2921 Replies Flag this Response
  • woops....parasites....long day...but then...check it out: http://www.cdc.gov/Ncidod/EID/vol9no6/02-0751.htmLeptospirosis is a relatively common zoonotic disease in the tropics.Leptospirosis is a zoonotic disease of worldwide distribution that causes an acute febrile illness; the incubation period is usually 5–14 days but ranges from 2 to 30 days (9). The disease is associated with exposure to water or soil that has been contaminated by a variety of wild and domestic animals, which serve as reservoirs for leptospires and transmit infection by shedding the organisms in their urine (1). The illness is protean. It may be characterized by abrupt onset of fever, chills, myalgias, and headache, and may also include conjunctival suffusion, abdominal pain, vomiting, diarrhea, and skin rashes. Severe leptospirosis may include aseptic meningitis, jaundice, renal failure and hemorrhage; the more severe syndrome characterized by fever, meningismus, and renal and hepatic failure is referred to as Weil’s disease. Mild infections can be treated with oral tetracyclines; more severe infections generally require intravenous penicillin (9).
    Monsterlove 2921 Replies Flag this Response
  • Thanks a lot, This looks actually very much like the symptoms my buddy was having when coming back after the trip. I have directly suggested this to him and we will try to have his blood tested.After a third period of about 9 days of illness, the fever and headache has not returned anymore by the way, which is a good thing, but we were eager to find out what it has been. They have tested a lot of things, at the time of fever, the liver tests were raised big time, yet no type of hepatitis. everything came back negative.thanks again for your good suggestion.Frank (and Paul)www.lemmingsontour.nl
    frankjacobs 2 Replies Flag this Response
  • Are there liver flukes in Borneo?
    rad-skw 1605 Replies Flag this Response
  • perhaps this link will shed some light? Hope so...wishing you well...mommy cat http://www.nexusmagazine.com/articles/mycoplasma.html
    mommy cat 1654 Replies Flag this Response
  • Try this CDC website which lists diseases common to geographical areas: http://www.cdc.gov/travel/destinat.htm
    aquila 1263 Replies Flag this Response
  • Any vaccines taken before the trip?:eek:
    Eatafruit78 960 Replies Flag this Response
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  • yep,hepatitisA,DTP,and mallerone. all tested afterwards, none of them
    frankjacobs 2 Replies Flag this Response
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