Fever in traveler: Difference between revisions
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== | ==Background== | ||
*If incubation period >1 month: dengue, rickettsia, viral hemorrhagic fever less likely | *If incubation period >1 month: dengue, rickettsia, viral hemorrhagic fever less likely | ||
==Clinical Features== | |||
*[[Fever]] and exposure outside of U.S. | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 36: | Line 39: | ||
*Hepatitis B | *Hepatitis B | ||
== | ==Diagnosis== | ||
'''Always consider malaria''' | '''Always consider malaria''' | ||
*CBC with differential | *CBC with differential | ||
| Line 45: | Line 48: | ||
*chest x-ray | *chest x-ray | ||
*serologies for specific viruses | *serologies for specific viruses | ||
==Management== | |||
==Disposition== | |||
==See Also== | ==See Also== | ||
[[Travel Medicine]] | [[Travel Medicine]] | ||
==References== | |||
[[Category:ID]] | [[Category:ID]] | ||
[[Category:TropMed]] | [[Category:TropMed]] | ||
Revision as of 02:22, 10 June 2015
Background
- If incubation period >1 month: dengue, rickettsia, viral hemorrhagic fever less likely
Clinical Features
- Fever and exposure outside of U.S.
Differential Diagnosis
General
Fever in traveler
- Normal causes of acute fever!
- Malaria
- Dengue
- Leptospirosis
- Typhoid fever
- Typhus
- Viral hemorrhagic fevers
- Chikungunya
- Yellow fever
- Rift valley fever
- Q fever
- Amebiasis
- Zika virus
Fever with CNS Changes
- Malaria,
- Tuberculosis
- Typhoid fever
- Rickettsia
- Poliomyelitis
- Rabies
- Viral (Japanese/ West Nile/ tick borne) encephalitis
- Meningococcal meningitis (associated with Haj to Mecca)
- Eosinophilic meningitis
- Associated with coccidiomycosis or angiostrongyliasis (rat lung worm to brain)
- Trypanosomiasis (African sleeping sickness)
Fever and Respiratory Symptoms
- Pneumonia
- Influenza
- Mycoplasma
- Legionella
- Tuberculosis
- Q fever coxiella burnetti
- Loffler's syndrome
Fever with Sexual/Blood Exposure
Diagnosis
Always consider malaria
- CBC with differential
- thick and thin smear
- liver function tests
- urinalysis
- blood & stool cultures;
- chest x-ray
- serologies for specific viruses