A patient returns from an adventure with fever and myalgia
He drank only bottled water and took malaria prophylaxis, so what happened?
![martha-brae river jamaica rafting](https://www.ausdoc.com.au/wp-content/uploads/2022/08/gr_martha-brae-river-jamaica-rafting-dreamstime_l_136921603-1.jpg)
Joel, 26, presents three days after returning from a 12-month trip to South America and the Caribbean.
He started his trip with two weeks in Brazil, followed by nine months adventuring in Bolivia, Peru and Ecuador.