Travel medicine: Difference between revisions
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# also from tattoo, piercing, share razor, blood xfsn | # also from tattoo, piercing, share razor, blood xfsn | ||
==Eosinophilic Fever== | ==[[Eosinophilic Fever]]== | ||
==[[Traveler's Diarrhea]]== | ==[[Traveler's Diarrhea]]== | ||
Revision as of 00:19, 10 June 2012
Fever in Traveler
General
- get incubation period- if > 1mo, dengue, rickettsia, viral hem fvr less likely
- cbc c diff, thick smear, lft, ua, blood/ stool cx, cxr, serologies for specific viruses
DDX
CNS Changes and Fever
- malaria, tb, typhoid fvr, rickettsia, poliomyelitis, rabies, viral (Japanese/ West Nile/ tick borne) encephalitis
- meningococcal meningitis assoc with Haj to Mecca
- eosinophilic meningitis assoc c coccidiomycosis or angiostrongyliasis- rat lung worm to brain
- 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
- consider strep pneumonia, influenza, mycoplasma, legionella, tb
- Q Fever- coxiella burnetti- fvr, pna, hepatitis and animal exposure
- Lofflers syn- pulm infiltrates, eosinophilia from transient migration of larval helminthes through lungs
- Cough also seen in malaria, typhoid fvr, scrub typhus, dengue
Sex/ Blood Exposure and Fever
- can have fvr without genital findings- hiv, syphilis (treponema pallidum) cmv, ebv, hep B
- also from tattoo, piercing, share razor, blood xfsn