Microbiology 24 - Fever in the Returning Traveller Flashcards
Recall some differentials for fever and rash in the returning traveller
Viral: dengue, chickungunya, measles
Bacterial: typhoid (look for rose spots)- caused by salmonella typhi
Recall some differentials for fever and abdo pain in the returning traveller
Typhoid fever
Amoebic liver abscess
Recall some differentials for fever and cytopaenias in the returning traveller
Dengue, chickungunya, typhoid, malaria
Recall some differentials for fever and haemorrhage in the returning traveller
Viral haemorrhagic fevers (dengue/ ebola)
Meningococcaemia
Recall a differential for fever and eosinophilia in the returning traveller
Schistosomiasis
Recall some differentials for fever > 6 weeks post-travel in the returning traveller
Vivax malaria
Acute hepatitis
TB
Amoebic liver abscess
What % of parasitaemia constitutes a severe malaria?
> 2%
What is the treatment for falciparum malaria?
IV Artesunate
What type of mosquito carries malaria?
Female Anopheles
Recall the different types of malaria
Falciparum Vivax Ovale Malariae Knowelsi
What acid base abnormality may be seen in malaria?
Metabolic acidosis
Why is malaria sometimes known as ‘blackwater fever’?
Due to the haemaglobinuria
What is the gold standard test for malaria?
Thick and thin blood films
What are the treatments for non-falciparum malaria?
Primaquine and chloroquine (check g6pd levels)
What type of mosquito is a vector for dengue virus?
Aedes
