A 38-year-old man came to the Netherlands in January
2009 to work as a rigger in the harbor of Rotterdam. Since
October 2008, he had lived in Kapit, Sarawak, in Borneo
and hunted wild animals in the surrounding jungles. One
week after arriving in the Netherlands, he came to our hospital
with a 5-day history of fever, myalgia, headache, and
low back pain. His medical history was uneventful, and he
had not experienced any previous malaria attacks.