Fever in traveler

From WikEM
(Redirected from Fever in Traveler)
Jump to: navigation, search

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

Fever with CNS Changes

Fever and Respiratory Symptoms

Fever with Sexual/Blood Exposure

  • HIV
  • Syphilis (Treponema pallidum)
  • Cytomegalovirus (CMV)
  • Epstein-Barr Virus (EBV)
  • Hepatitis B

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

Management

Disposition

See Also

Travel Medicine

References