Fever in returning traveler Flashcards
What’s the main febrile syndrome you want to rule out in a traveling pt?
Malaria
Name 3 other conditions that’ll be on your differential for fever in a traveler
Dengue
Typhoid/Paratyphoid
Rickettsial disease
(+/- TB)
Which Plasmodium spp is most likely to cause complicated malaria?
P falciparum
African Trypanosomiasis aka African Sleeping Sickness is transmitted by ___
What is the vector for this disease?
Trypanosoma brucei
The tsetse fly
Lymphadenopathy, recurrent fever
Progression to somnolence and then coma. Which disease is this?
A.Babesiosis
B.Malaria
C.Schistosomiasis
D.Typhoid fever
E.Trypanosomiasis
E
Common cause of seizures worldwide. This organism is transmitted how? (see image)
A.Drinking contaminated water
B.Ingestion of infected beef
C.Ingestion of infected pork
D.Sandfly Bite
E.Tick Bite
C
Which bug causes Neurocysticercosis?
Pork tapeworm, T solium
**look out for the scolex stage in the vignette**
Patient swimming in Lake Malawi presents with the fever, Urticaria and/or angioedema, Chills, Myalgias, Dry cough, Headache, Abdominal pain and Sometimes hepatosplenomegaly. What is the infection?
A.Babesiosis
B.Malaria
C.Schistosomiasis
D.Typhoid fever
E.Trypanosomiasis
C
Schistosomiasis can present as __ or __
Acute Schistosomiasis Syndrome (Katayama Fever) or Swimmer’s itch
22yo went backpacking in Thailand and took full advantage of trying all the wonderful street food. No pre-travel medical care. They complained of fever and chills initially but now also have severe abdominal pain. They appear very ill on exam. What empiric treatment makes the most sense?
A.TMP-SMX
B.Ceftriaxone
C.Doxycycline
D.Mebendazole
E.Praziquantil
B (we’re thinking Typhoid fever)
The most common skin disease diagnosed in returning travelers is __
Infectious cellulitis (think Staph, Group A Strept etc)
___ is the causative agent of Scabies
This infection is characterized by ___ and is a result of a type IV HSR
Sarcoptes scabiei is the causative agent of Scabies
This infection is characterized by intensely pruritic eruptions and is a result of a type IV HSR
**Pruritis due to type-IV hypersensitivity to mite, mite feces and mite eggs**
How is scabies transmitted?
Person to person
What is the pathology below and how do you treat it?
Scabies
Rx: mainly Permetherin (or ivermectin)
___ is caused by maggots of African tumbu fly or South/Central American botfly
Myiasis
What is the pathology below?
Myiasis
The __ worm is the causative agent of cutaneous larva migrans
Hookworm
What is the pathology below?
Cutaneous leishmaniasis
