Illness in Returning Travelers Flashcards
Typical malaria presentation
Headache, malaise, myalgia and anorexia
followed by recurring high fevers, rigors and drenching sweats for 8-12 hours at a time
Investigation for malaria
Thick and thin film
Causative organisms for malaria
Plasmodium falciparium
plasmodium vivax
plasmodium ovale
plasmodium malariae
Timeframe for malaria
3 months - p falciparium
18 months for others
Complications of malaria
Cerebral malaria Hypoglycaemia Renal failure Pulmonary oedema Splenic rupture DIC Death
Causative organisms for typhoid and paratyphoid
Salmonella typhi
Salmonella paratyphi
Spread of typhoid and paratyphoid
faecal-oral route
Symptoms of typhoid/paratyphoid
malaise fever headache cough constipation nose bleeds bruising abdo pain
signs of typhoid
pyrexia relative bradycardia rose-coloured spots on trunk splenomegaly CNS signs - coma, delirium, meningism
causative organism of dengue fever
Aedes mosquito
symptoms of dengue fever
flu-like illness
sudden high fever
red maculopapular rash (2-5 days after the fever)
causative organism for cholera
Vibrio cholerae
gram negative
causative organism for giardiasis
flagellate protozoan
typical symptoms for giardiasis
watery stool with ++ flatus (explosive diarrhoea)
no feer
treatment for giardiasis
metronidazole
- quick recovery is diagnostic
