François-Xavier Lescure* , Ana Canestri†, Hugues Melliez‡, Stéphane Jauréguiberry*, Michel Develoux*, Richard Dorent*, Jean-Baptiste Guiard-Schmid*, Philippe Bonnard*, Faïza Ajana‡, Valeria Rolla§, Yves Carlier¶, Frederick Gay†, Marie-Hélène Elghouzzi#, Martin Danis†, and Gilles Pialoux*
Author affiliations: *Hôpital Tenon AP-HP, Paris, France; †Hôpital La Pitié Salpétrière AP-HP, Paris, France; ‡Le Centre Hospitalier de Tourcoing, Tourcoing, France; §Instituto de Pesquisa Clinica Evandro Chagas – Fiocruz, Rio de Janeiro, Brazil; ¶Université libre de Bruxelles, Brussels, Belgium; #Etablissement Français du Sang d’lle de France, Paris, France;
Figure. Romaña sign. Photo of female patient from French Guiana who lives in a metropolitan area of France. She had returned to Maripassoula to visit her parents during the holidays between July 13, 2004, and September 3, 2004. When the patient sought treatment on September 3, 2004, she had fever and unilateral periorbital edema.
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