A Soldier with fever and a rash

Abstract

[Extract] In May 2011, a 37 year old male soldier presented with a sudden onset of fever, retro-orbital headache, arthralgia, myalgia, some nausea and fatigue. On examination, the patient had a widespread rash, including the trunk (A, B). There was no history of overseas travel, but the soldier had been in the Cowley Beach Training Area, near Innisfail, North Queensland, and then in Cairns for a few days before returning to Townsville, where he presented unwell.