Travel infections Flashcards

1
Q

What are important points to elicit from history?

A
Destination 
Duration of stay 
Onset of symptoms 
Accommodation 
Food/water consumed 
Sexual history 
Past medical history 
Pre-travel vaccinations
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2
Q

What are common travel infectsions?

A
Dengue fever
Rickettsia 
Malaria 
Typhoid 
HIV
TB
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3
Q

What is Dengue fever?

A

Viral RNA infection

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4
Q

How is Dengue fever spread?

A

Mosquitos

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5
Q

What are the symptoms of Dengue fever?

A
Fever 
Severe headache 
Myalgia 
Nausea
Maculopapular rash 
Haemorrhagic lesions
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6
Q

How is Dengue managed?

A

Paracetamol
Fluids

Manage any potential haemorrhagic side effects

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7
Q

What are rickettsia?

A

Parasitic bacteria

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8
Q

What is the pathology of rickettsia?

A

Widespread vasculitis and endothelial proliferation

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9
Q

What diseases are associated with rickettsia?

A

Typhus

Rocky mountain spotted fever

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10
Q

What are the symptoms of typhus?

A
Trunk rash 
Photophobia 
Delirium 
Fever
Headache
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11
Q

What are the symptoms of rocky mountain spotted fever?

A

Fever
Nausea + vomiting
Headache
Rash - maculopapular + petechial

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12
Q

How is rickettsia managed?

A

Doxycycline

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13
Q

What is typhoid?

A

Bacterial infection

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14
Q

What organisms cause typhoid?

A

Salmonella typhi

Salmonella paratyphi

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15
Q

How is typhoid spread?

A

Faecal-oral

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16
Q

What are the symptoms of typhoid?

A
Headache 
Fever - with bradycardia 
Malaise 
Diarrhoea
Rose spots
17
Q

How is typhoid managed?

A

Fluid replacement
IV ceftriaxone (empirical)
Ciprofloxacin or azithromycin