Learning from low income countries: what are the lessons?: Health is a dynamic process

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7475.1185-c (Published 11 November 2004) Cite this as: BMJ 2004;329:1185
  1. P C Das, retired professor of haematology (margaret.das@planet.nl)
  1. Redgerstraat 10, 9791 BH Ten Boer, Netherlands

    EDITOR—In 1999 I joined as a haematologist the one medical school in Malawi, Africa. I was asked to see a young pregnant woman with fever, confusion, and oral thrush. The pinprick-like marks apparent on her abdomen were explained by the resident, my translator—she had already seen a traditional healer. History and the few available laboratory tests led to a tentative diagnosis of haemolytic uraemic syndrome related to AIDS. …

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