Fever in traveler: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
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==Evaluation== | ==Evaluation== | ||
'''Always consider malaria''' | '''Always consider malaria''' | ||
*Malaria smear (thick and thin) | |||
*CBC with differential | *CBC with differential | ||
* | *Chemistry panel | ||
* | *Liver function tests | ||
* | *Blood culture | ||
* | *Urinalysis and urine culture | ||
* | *Stool culture | ||
* | *Chest x-ray | ||
*Additional to consider: | |||
**[[Lumbar puncture]] | |||
**Hepatitis panel | |||
**[[STD]] studies | |||
**Serologies for specific viruses | |||
**Other radiography (CT scan, abdominal ultrasound, MRI brain) | |||
==Management== | ==Management== | ||
| Line 52: | Line 59: | ||
==See Also== | ==See Also== | ||
[[Travel Medicine]] | *[[Travel Medicine]] | ||
==External Links== | |||
*https://wwwnc.cdc.gov/travel/yellowbook/2016/post-travel-evaluation/fever-in-returned-travelers | |||
*https://www.ebmedicine.net/topics.php?paction=showTopicSeg&topic_id=167&seg_id=3279 | |||
==References== | ==References== | ||
Revision as of 16:17, 27 March 2017
Background
- If incubation period >1 month: dengue, rickettsia, viral hemorrhagic fever less likely
Clinical Features
- Fever and exposure outside of U.S.
Differential Diagnosis
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
Evaluation
Always consider malaria
- Malaria smear (thick and thin)
- CBC with differential
- Chemistry panel
- Liver function tests
- Blood culture
- Urinalysis and urine culture
- Stool culture
- Chest x-ray
- Additional to consider:
- Lumbar puncture
- Hepatitis panel
- STD studies
- Serologies for specific viruses
- Other radiography (CT scan, abdominal ultrasound, MRI brain)
Management
Disposition
See Also
External Links
- https://wwwnc.cdc.gov/travel/yellowbook/2016/post-travel-evaluation/fever-in-returned-travelers
- https://www.ebmedicine.net/topics.php?paction=showTopicSeg&topic_id=167&seg_id=3279