Diferencia entre revisiones de «Fever in traveler»

Revisión del 17:03 12 sep 2014

General

If incubation period >1 month: dengue, rickettsia, viral hemorrhagic fever less likely

Differential Diagnosis

General

Fever in traveler

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

Fever with Sexual/Blood Exposure

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

Workup

Always consider malaria

CBC with differential
thick and thin smear
liver function tests
urinalysis
blood & stool cultures;
chest x-ray
serologies for specific viruses

@@ Línea 1: / Línea 1: @@
 ==General==
 *If incubation period >1 month: dengue, rickettsia, viral hemorrhagic fever less likely
-*CBC with differential; thick smear; liver function tests; urinalysis; blood & stool cultures; chest x-ray; serologies for specific viruses
 ==Differential Diagnosis==
+'''General'''
 {{Template:Fever in Traveler DDX}}
-==Fever + CNS Changes==
+===Fever with CNS Changes===
-*malaria, tuberculosis, typhoid fever, rickettsia, poliomyelitis, rabies, viral (Japanese/ West Nile/ tick borne) encephalitis
+*[[Malaria]],
-*meningococcal meningitis associated with Haj to Mecca
+*[[Tuberculosis]]
-*eosinophilic meningitis associated with coccidiomycosis or angiostrongyliasis (rat lung worm to brain)
+*[[Typhoid fever]]
-*trypanosomiasis by tsetse fly = Africal sleeping sickness = red chancre at site of fly bite, fever, headache, myalgias proceding to meningoencephalitis. May see trypansosomes in smear in acute phase
+*[[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 + Respiratory Symptoms==
+===Fever and Respiratory Symptoms===
-*streptococcal pneumonia, influenza, mycoplasma, legionella, tuberculosis
+*[[Pneumonia]]
-*Q fever: ''coxiella burnetti'': fever, pneumonia, hepatitis after animal exposure
+*[[Influenza]]
-*Loffler's syndrome: pulmonary infiltrates, eosinophilia from transient migration of larval helminthes through lungs
+*[[Mycoplasma]]
-*cough also seen in malaria, typhoid fever, scrub typhus, dengue
+*[[Legionella]]
+*[[Tuberculosis]]
+*[[Q fever]] ''coxiella burnetti''
+*[[Loffler's syndrome]]
-==Sexually Transmitted / Blood Exposure and Fever==
-*can have fever without genital findings: HIV, syphilis (''Treponema pallidum'') cytomegalovirus (CMV), Epstein-Barr Virus (EBV), hepatitis B
+===Fever with Sexual/Blood Exposure===
-*also from tattoos, piercings, share razor, blood transfusion
+*[[HIV]]
+*[[Syphilis]] (''Treponema pallidum'')
+*Cytomegalovirus (CMV)
+*Epstein-Barr Virus (EBV)
+*Hepatitis B
+==Workup==
+'''Always consider malaria'''
+*CBC with differential
+*thick and thin smear
+*liver function tests
+*urinalysis
+*blood & stool cultures;
+*chest x-ray
+*serologies for specific viruses
 ==See Also==