Travel medicine

CNS Changes and Fever

1. malaria, tb, typhoid fvr, rickettsia, poliomyelitis, rabies, viral (Japanese/ West Nile/ tick borne) encephalitis
2. meningococcal meningitis assoc with Haj to Mecca
3. eosinophilic meningitis assoc c coccidiomycosis or angiostrongyliasis- rat lung worm to brain
4. 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

Resp Sx and Fever

1. consider strep pneumonia, influenza, mycoplasma, legionella, tb
2. Q Fever- coxiella burnetti- fvr, pna, hepatitis and animal exposure
3. Lofflers syn- pulm infiltrates, eosinophilia from transient migration of larval helminthes through lungs
4. Cough also seen in malaria, typhoid fvr, scrub typhus, dengue

Sex/ Blood Exposure and Fever

1. can have fvr without genital findings- hiv, syphilis (treponema pallidum) cmv, ebv, hep B
2. also from tattoo, piercing, share razor, blood xfsn