PUZZLER
Child becomes febrile after visiting West Africa
Emily Haas, BS, MS3
Christine Zimmerman, MD

THE CASE

It’s a Friday morning in the outpatient pediatric clinic when a nurse on the phone with a patient’s mother says that the mother is on the city bus with her 2 daughters on their way to the clinic because the 6-year-old daughter has developed fatigue, body aches, fever, and vomiting since they returned from West Africa.