Return Traveller

Question 1

Name disease that manifest months or years after?

Answer 1

Schisto, leishmaniasis, chagas

Question 2

Most common vaccine- preventable diseases by geosentinel study is?

Answer 2

1. Enteric fever
2. Viral hepatitis,
3. influenza

Question 3

Qfever is transmitted by? Prevalence,Signs, diagnosis, treatment?

Answer 3

Bacteria, inhaled from contamined dried birth fluids or excreta

• travellers to rursl areas, farms may be exposed
• worldwide, highest: africa, middle eastern countries
• symptoms: influenza, pneumonia, hepatits. Pregnancy high risk
• diagnosis: serology between paired sera taken 3-4 wks apart
• tx: doxycycline or
  Trimethoprim-sulfamethoxazole(septra) for children

Question 4

Respiratory illness after travel to specific regions are?

Answer 4

1. Histoplasmosis: fungus, travellers to bat inhabited caves
2. Coccidioidomycosis: fungus, central & south america, exposure to dust

Question 5

Which Helminth disease produce pulmonary disease?

Answer 5

Strongyloidiasis, paragonimiasis, schistosomiasis

Question 6

Eosinophilia in return traveller suggests?

Answer 6

Heminth infection

Fever & eosinophilia present during pulmonary migration, hookeorm, ascaris, strongyloides

Katayama syndrome also cause fever & eosinophilia

Other: visceral larval migrans, lymphatic filariasis, acute trichinellosis

Question 7

Febrile illness with nonspecific symptoms could be?

Answer 7

Malaria, dengue, typhoid, rickettsial

Febrile illness: Common sub-saharan & southeadt asia

Acute diarrhea: south-central asia

Question 8

Describe katayama syndrome? Tx?

Answer 8

Long incubation, symptom of schistosimiasis

Nocturnal fever, cough, myalgia, h/a, abd tenderness, eosinophilia

Tx:Praziquantel

Question 9

Describe bacterial versus protozoal infection?

Answer 9

Bacterial: abrupt & uncomfortable

Protozoal: gradual onset of less severe diarrhea