There may be scleroderma-like features. Interestingly, the aldolase level is elevated but the CPK level is usually normal. The diagnosis is confirmed by muscle biopsy. This past week we were notified by CDC of a multi-state outbreak of acute febrile illness among college students who had traveled to Acapulco during March. Illness was characterized by fever, chills, dry cough, chest pain, and headache 7-14 days after return from Mexico.
Preliminary testing suggests acute pulmonary histoplasmosis in several cases.
To date, over 220 possible cases have been reported from 37 colleges in 18 states. We are investigating several suspect cases in Minnesota residents. These activities have repeatedly been associated with large outbreaks of salmonellosis in various states during spring months. Several serotypes have been involved. We welcome your comments and suggestions about this site.