Travel infections Flashcards
What are important points to elicit from history?
Destination Duration of stay Onset of symptoms Accommodation Food/water consumed Sexual history Past medical history Pre-travel vaccinations
What are common travel infectsions?
Dengue fever Rickettsia Malaria Typhoid HIV TB
What is Dengue fever?
Viral RNA infection
How is Dengue fever spread?
Mosquitos
What are the symptoms of Dengue fever?
Fever Severe headache Myalgia Nausea Maculopapular rash Haemorrhagic lesions
How is Dengue managed?
Paracetamol
Fluids
Manage any potential haemorrhagic side effects
What are rickettsia?
Parasitic bacteria
What is the pathology of rickettsia?
Widespread vasculitis and endothelial proliferation
What diseases are associated with rickettsia?
Typhus
Rocky mountain spotted fever
What are the symptoms of typhus?
Trunk rash Photophobia Delirium Fever Headache
What are the symptoms of rocky mountain spotted fever?
Fever
Nausea + vomiting
Headache
Rash - maculopapular + petechial
How is rickettsia managed?
Doxycycline
What is typhoid?
Bacterial infection
What organisms cause typhoid?
Salmonella typhi
Salmonella paratyphi
How is typhoid spread?
Faecal-oral