Fever in traveler: Difference between revisions
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=General= | |||
*If incubation period >1 month: dengue, rickettsia, viral hemorrhagic fever less likely | |||
*CBC with differential; thick smear; liver function tests; urinalysis; blood & stool cultures; chest x-ray; serologies for specific viruses | |||
= | =Differential Diagnosis= | ||
*[[Malaria]] | |||
*[[Dengue]] | |||
*[[Leptospirosis]] | |||
*[[Typhoid Fever]] | |||
*[[Typhus]] | |||
*[[Hemorrhagic Fevers]] | |||
= | =Fever + 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 by tsetse fly = Africal sleeping sickness = red chancre at site of fly bite, fever, headache, myalgias proceding to meningoencephalitis. May see trypansosomes in smear in acute phase | |||
= | =Fever + Respiratory Symptoms= | ||
*streptococcal pneumonia, influenza, mycoplasma, legionella, tuberculosis | |||
*Q fever: ''coxiella burnetti'': fever, pneumonia, hepatitis after animal exposure | |||
*Loffler's syndrome: pulmonary infiltrates, eosinophilia from transient migration of larval helminthes through lungs | |||
*cough also seen in malaria, typhoid fever, scrub typhus, dengue | |||
= | =Sexually Transmitted / Blood Exposure and Fever= | ||
*can have fever without genital findings: HIV, syphilis (''Treponema pallidum'') cytomegalovirus (CMV), Epstein-Barr Virus (EBV), hepatitis B | |||
*also from tattoos, piercings, share razor, blood transfusion | |||
=See Also= | |||
[[Travel Medicine]] | [[Travel Medicine]] | ||
[[Category:ID]] | [[Category:ID]] | ||
[[Category:TropMed]] | [[Category:TropMed]] | ||
Revision as of 04:28, 24 August 2013
General
- If incubation period >1 month: dengue, rickettsia, viral hemorrhagic fever less likely
- CBC with differential; thick smear; liver function tests; urinalysis; blood & stool cultures; chest x-ray; serologies for specific viruses
Differential Diagnosis
Fever + 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 by tsetse fly = Africal sleeping sickness = red chancre at site of fly bite, fever, headache, myalgias proceding to meningoencephalitis. May see trypansosomes in smear in acute phase
Fever + Respiratory Symptoms
- streptococcal pneumonia, influenza, mycoplasma, legionella, tuberculosis
- Q fever: coxiella burnetti: fever, pneumonia, hepatitis after animal exposure
- Loffler's syndrome: pulmonary infiltrates, eosinophilia from transient migration of larval helminthes through lungs
- cough also seen in malaria, typhoid fever, scrub typhus, dengue
Sexually Transmitted / Blood Exposure and Fever
- can have fever without genital findings: HIV, syphilis (Treponema pallidum) cytomegalovirus (CMV), Epstein-Barr Virus (EBV), hepatitis B
- also from tattoos, piercings, share razor, blood transfusion