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The results of the remaining physical examination were unremarkable.Laboratory testing revealed leukopenia (leukocytes 0.9x10 ELISA (in-house ELISA Dutch Leptospirosis Reference Center) performed on dps 6 showed Ig M (cut-off positive Ig M ≥0).

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On day 12 of her visit in Suriname, she experienced mild muscle pain, headache and nausea and she developed a high-grade fever.

She returned to the Netherlands on day 15 and visited the emergency department of a secondary care centre, from where she was referred to our University hospital. Except for a temperature of 39.9 °C, vital parameters were normal.