Fever in the Returning Traveler - History
Exposure ...

Fever in the Returning Traveler - History
Exposure History:
 • Street foods / Local water: entenc fever, travellers' diarrhea
 • Arthropod bites: malaria, dengue, chikungunya, arboviruses, Rickettsia, African trypanosomiasis
 • Uncooked meat / unpasteurized dairy: trichinosis, brucellosis, toxoplasmosis
 • Blood and body fluid exposure: sexual encounters, tattoos, piercings, injections including immunizations, intravenous (IV) drug use, and rabies post-exposure prophylaxis (PEP) (human immunodeficiency virus [HIV], HBV, hepatitis C virus [HCV], herpes simplex virus [HSV], syphilis, gonorrhea (gonococcus) / Chlamydia trachomatis [GC/CT])
 • Fresh water activities: swimming, kayaking, rafting (schistosomiasis, leptospirosis
 • Animal exposures: Q-fever, brucellosis, tularemia, anthrax, rabies, Crimean-Congo hemorrhagic fever
Fever Duration:
   < 7 days: malaria, travellers' diarrhea, dengue, enteric fever, RTI
   7-21 days: malaria, enteric fever
   > 21 days: malaria, enteric fever
Fever Pattern:
 • Daily / Continuous: malaria, travellers' diarrhea, RTI, enteric fever
 • Saddleback (biphasic): malaria, dengue
 • Relapsing: malaria, entenc fever

Andrea Boggild, MD @BoggildLab

#Fever #Returning #Traveler #History #diagnosis #differential
Contributed by

Dr. Gerald Diaz
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/

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