Fever in traveler: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:TropMed" to "Category:Tropical Medicine") |
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*Hepatitis B | *Hepatitis B | ||
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'''Always consider malaria''' | '''Always consider malaria''' | ||
*CBC with differential | *CBC with differential | ||
Revision as of 04:55, 23 July 2016
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
- CBC with differential
- thick and thin smear
- liver function tests
- urinalysis
- blood & stool cultures;
- chest x-ray
- serologies for specific viruses