Fever in the Returning Traveller Flashcards Preview

Year 3: CSP & PH > Fever in the Returning Traveller > Flashcards

Flashcards in Fever in the Returning Traveller Deck (14):
1

What conditions (which cause fever) are endemic in Sub-Saharan Africa?

malaria, HIV, dengue, chikungunya, rickettsiae, enteric fever (typhoid), VHF (ebola)

2

What conditions (which cause fever) are endemic in South/Central Asia?

dengue, enteric fever, malaria, chikungunya and tuberculosis

3

What conditions (which cause fever) are endemic in South East Asia?

dengue, enteric fever, chikungunya and malaria

4

What conditions (which cause fever) are endemic in Latin America?

dengue, chikungunya, zika, enteric fever and malaria

5

What condition may someone get if they were exposed to fresh/brackish water?

acute schistosmiasis

6

What condition may someone get if they were exposed to swimming/rafting in fresh water?

can lead to leptospirosis

7

What condition may someone get if they were exposed to game/safaris?

can lead to tick typhus, trypanosomiasis or anthrax

8

What condition may someone get if they were exposed to caves?

can lead to histoplasmosis, rabies or ebola

9

Explain how you would assess the likelihood that someone has VHF (ebola).

> Have they visited endemic area <21 days ago
> Is there a high possibility of contact with an infected/febrile person for >4 hours
> Involved in healthcare work
>Present with shock, organ failure or haemorrhage

10

Outline the treatment for malaria

Severe malaria is treated with IV artesunate or IV quinine (cardiac and blood glucose monitoring is required)

If pathogen is not falciparum --> chloroquine followed by primaquine (check G6PD status)

11

Describe dengue fever

3-14 day incubation, transmitted by day-biting Aedes mosquitos, present with febrile illness and headache, with myalgia, arthralgia and a rash with is initially erythrodermic and later becomes petechial

12

Describe chikungunya

1-12 day incubation, fever and arthralgia present and arthritis may develop

13

What is enteric fever and what is it caused by?

Enteric fever = typhoid, caused by Salmonella Typhi or Paratyphi

14

Describe enteric fever (typhoid)

Caused by Salmonella Typhi or Paratyphi with an incubation period of 1-3 weeks Symptoms may include headache, constipation/diarrhoea and dry cough. Treatment is with IV ceftriaxone (empirical until serology comes back)