Fever in returning traveller

Question 1

What is acute undifferentiated febrile illness?

Answer 1

Fever for <2 weeks duration with only non specific symptoms

Question 2

What are the most common causes of bacterial/fungal infections in non differentiated illness?

Answer 2

BAC: streptccoccal, staph, salmonella typhi and paratyphi, EColi, TB
FUNGAL: cryptococcal and histoplasmosis
VIRAL: Dengue, influenza, chikungungya, HIV, covid
OTHER: malaria
ZOONOTIC: brucellosis, leptospirosis, borellosis, rickettsiosis, Q fever, scrub typhus
PARASITIC: acute shistosomiasis and trypanosomiasis

MA-ESR
M - malara
A - arboviral infection - dengue, zika, YF, JE, Chikungunya
E - enteric fever - salmonella typhi
S - leptospirosis, tick borne encephalitis
R - rickettsia, respiratory viruses

Question 3

What is the most common cause of non malarial fever in Asia?

Answer 3

Dengue, leptospirosis, scrub typhus, salmonella typhi, influenza, Japanese encephalitis

Question 4

What are the most common causes of non malarial febrile illness in Africa?

Answer 4

Viral resp pathogens, dengue, HIV
Non typhoidal salmonella
Strep, staph, EColi
TB
Brucellosis, leptospirosis, Q fever, rickettsiosis, borrelosis
Cryptococcal, histoplasmosis
Visceral leish and trypanosomiasis