HistopathologyAccepted Articles Correspondence Tinea corporis with misleading clinical and histologic features of lymphomatoid papulosis Christophe Perrin, Corresponding Author Christophe Perrin xst.perrin@bbox.fr orcid.org/0000-0002-6214-3416 Laboratoire Central d’Anatomie Pathologique, Hôpital Pasteur, University of Nice, France Nail’s Dermatology Consultations, Cannes, FranceAddress for correspondence: Christophe Perrin, MD, Laboratoire Central d’Anatomie Pathologique, Hôpital L Pasteur, 30, Avenue Voie Romaine- CS 51069,06001 Nice, Cedex 1. France. e-mail: xst.perrin@bbox.frSearch for more papers by this authorToni Giorgio, Toni Giorgio Laboratoire Central d’Anatomie Pathologique, Hôpital Pasteur, University of Nice, FranceSearch for more papers by this authorMichael Coutts, Michael Coutts Department of Cellular Pathology, Maidstone Hospital, Kent, UKSearch for more papers by this authorDamien Ambrosetti, Damien Ambrosetti Laboratoire Central d’Anatomie Pathologique, Hôpital Pasteur, University of Nice, FranceSearch for more papers by this author Christophe Perrin, Corresponding Author Christophe Perrin xst.perrin@bbox.fr orcid.org/0000-0002-6214-3416 Laboratoire Central d’Anatomie Pathologique, Hôpital Pasteur, University of Nice, France Nail’s Dermatology Consultations, Cannes, FranceAddress for correspondence: Christophe Perrin, MD, Laboratoire Central d’Anatomie Pathologique, Hôpital L Pasteur, 30, Avenue Voie Romaine- CS 51069,06001 Nice, Cedex 1. France. e-mail: xst.perrin@bbox.frSearch for more papers by this authorToni Giorgio, Toni Giorgio Laboratoire Central d’Anatomie Pathologique, Hôpital Pasteur, University of Nice, FranceSearch for more papers by this authorMichael Coutts, Michael Coutts Department of Cellular Pathology, Maidstone Hospital, Kent, UKSearch for more papers by this authorDamien Ambrosetti, Damien Ambrosetti Laboratoire Central d’Anatomie Pathologique, Hôpital Pasteur, University of Nice, FranceSearch for more papers by this author First published: 08 July 2022 https://doi.org/10.1111/his.14723 This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi:10.1111/his.14723 AboutPDF ToolsExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Accepted ArticlesAccepted, unedited articles published online and citable. The final edited and typeset version of record will appear in the future. RelatedInformation
Background Malaria is a potentially lethal parasitic disease due to infection by Plasmodium parasites, transmitted by Anopheles mosquito vectors. Various preventative measures may be recommended for travellers who visit endemic areas. The diagnosis is generally evoked in the context of a febrile patient returning from an endemic zone. Nevertheless, symptoms and clinical signs may be difficult to interpret, and fatal cases may only be diagnosed retrospectively with laboratory techniques, specific pathological features and patient history. The present work reports a case of fatal cerebral malaria diagnosed post-mortem, along with the techniques that allowed identification of the causative agent. Case presentation A 29 year-old male was found dead in his rental home during a vacation in Southern France. In the absence of explainable cause, an autopsy was performed, which did not retrieve major lesions. In the context of frequent business-related travels in tropical Africa, several samples were adressed for parasitological examination. Microscopy techniques, along with immunochromatographic and molecular biology assays, led to post-mortem diagnosis of fatal cerebral malaria. It was discovered in retrospect that the patient had not used preventative measures against malaria when travelling in endemic zones, and had not been provided with proper travel medicine counseling prior to his travel. Conclusion A vast proportion of imported malaria cases reported in France concerns patients who did not use preventive measures, such as bed nets, repellents or chemoprophylaxis. Given the wide availability of prevention tools in developed countries, and the important number of declared imported malaria cases, there is no doubt traveller awareness still needs to be raised. Moreover, healthcare professionals should always question travel history in febrile patients. The authors advocate for recurrent information campaigns for travellers, and physician training for a better prevention and diagnosis of malaria cases.