FEVER IN THE RETURNING TRAVELLER

Question 1

Which form of malaria is the most deadly?

Answer 1

Plasmodium Falciparum

Question 2

Which two types of malaria can relapse after years of latency?

Answer 2

Plasmodium vivax and ovale

Question 3

What are the two treatment options for p. falciparum?

Answer 3

Mild- quinine/doxycycline

Severe- IV artesunate/quinine

Question 4

What can occur if a patient is repeatedly exposed to dengue fever?

Answer 4

Dengue shock which can prove fatal

Question 5

What is a rickettsial infection? How is it transmitted? What are the symptoms? What is the management?

Answer 5

An obligate intracellular parasite which is transmitted by tick. Symptoms include fever, headaches, muscle pain and rash. Treated with doxycycline

Question 6

What is histoplasmosis associated with? How is it treated?

Answer 6

A fungi that grows in soil contaminated with bird or bat droppings. Treated with Itraconazole and amphoteracin