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| ==Fever in Traveler==
| | *[[Fever in traveler]] |
| ===Genera===
| | *[[Eosinophilic fever]] |
| # get incubation period- if > 1mo, dengue, rickettsia, viral hem fvr less likely
| | *[[Traveler's diarrhea]] |
| # cbc c diff, thick smear, lft, ua, blood/ stool cx, cxr, serologies for specific viruses
| | *[[Travel skin conditions]] |
| | *[[Parasitic diseases]] |
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| ===DDX===
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| #[[Malaria]]
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| #[[Dengue]]
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| #[[Leptospirosis]]
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| #[[Typhoid Fever]]
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| ===Rickettsia/ [[Typhus]]===
| | '''External Links''' |
| # fvr, ha, myalgia
| | * [https://wwwnc.cdc.gov/travel Center for Disease Control and Prevention - Travelers' Health] |
| # xmitted by arthropods/ ticks
| | * [https://wwwnc.cdc.gov/travel/notices Center for Disease Control and Prevention - Travel Health Notices] |
| # painless eschar at inoculation site imp clue
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| # camping, hiking in grassy/ scrub area
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| # regional LN, rash, leukopenia, thrombocytopenia
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| # dx clinically
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| # tx c tetracycline
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| # confirm serologically
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| ===[[Hemorrhagic Fevers]]===
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| # meningococcemia, malaria, leptospirosis, rickettsia- all treatable with abx
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| # also untreatable viruses- dengue, yellow fvr- but hem forms rarely seen in travelers
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| # also consider Ebola and Lassa fever- public health hazard
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| # h/o visit to rural area or contact with ill people in endemic area
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| # usually 3 wk after exposure
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| ==CNS Changes and Fever==
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| # malaria, tb, typhoid fvr, rickettsia, poliomyelitis, rabies, viral (Japanese/ West Nile/ tick borne) encephalitis
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| # meningococcal meningitis assoc with Haj to Mecca
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| # eosinophilic meningitis assoc c coccidiomycosis or angiostrongyliasis- rat lung worm to brain
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| # trypanosomiasis by tsetse fly- Africal sleeping sickness- red chancre at site of fly bite, fvr, ha, myalgia going to meningoencephalitis. May see trypansosomes in smear in acute phase
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| ==Resp Sx and Fever==
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| # consider strep pneumonia, influenza, mycoplasma, legionella, tb
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| # Q Fever- coxiella burnetti- fvr, pna, hepatitis and animal exposure
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| # Lofflers syn- pulm infiltrates, eosinophilia from transient migration of larval helminthes through lungs
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| # Cough also seen in malaria, typhoid fvr, scrub typhus, dengue
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| ==Sex/ Blood Exposure and Fever==
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| # can have fvr without genital findings- hiv, syphilis (treponema pallidum) cmv, ebv, hep B
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| # also from tattoo, piercing, share razor, blood xfsn
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| ==Eosinophilic Fever==
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| # >400 per cubic mm
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| # due to blood CA or allergy or helminthic infc
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| # hookworm, ascariasis, strongyloides, schistosomiasis, filariasis, visceral larva migrans, trichinosis, cocci
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| # eval with stool for O&P
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| # serology
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| # blood smear
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| # skin snips for microfilariae
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| ==[[Traveler's Diarrhea]]==
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| ==[[Travel Skin Conditions]]==
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| ==Source==
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| Mistry
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| [[Category:ID]] | | [[Category:ID]] |
| [[Category:TropMed]] | | [[Category:Tropical Medicine]] |
