Diferencia entre revisiones de «Fever in traveler»
Sin resumen de edición |
|||
| Línea 6: | Línea 6: | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Template:Fever in Traveler DDX}} | {{Template:Fever in Traveler DDX}} | ||
Revisión del 02:22 10 jun 2015
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
- Normal causes of acute fever!
- Malaria
- Dengue
- Leptospirosis
- Typhoid fever
- Typhus
- Viral hemorrhagic fevers
- Chikungunya
- Yellow fever
- Rift valley fever
- Q fever
- Amebiasis
- Zika virus
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
- Pneumonia
- Influenza
- Mycoplasma
- Legionella
- Tuberculosis
- Q fever coxiella burnetti
- Loffler's syndrome
Fever with Sexual/Blood Exposure
Diagnosis
Always consider malaria
- CBC with differential
- thick and thin smear
- liver function tests
- urinalysis
- blood & stool cultures;
- chest x-ray
- serologies for specific viruses