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Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Travelers from ... , leptospirosis ... , leptospirosis, ... #Returning #Traveler ... diagnosis #tropical #travel
Travel History - Clues to Infectious Disease Diagnosis in a Traveler 
 • Where did you
Clues to Infectious ... → Leptospirosis ... Rabies, cat scratch fever ... Herpesvirus B infection ... InfectiousDiseases #Infections
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Dissociation Causes ... Bradycardia • Infectious ... Causes: Legionella ... Babesiosis, Malaria, Leptospirosis ... • Non-Infectious
Fever in the Returning Traveler - History
Exposure History:
 • Street foods / Local water: entenc fever,
Traveler - History ... , travellers' diarrhea ... tattoos, piercings, injections ... schistosomiasis, leptospirosis ... #Returning #Traveler
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... Infectious: Legionella ... Babesiosis, Malaria, Leptospirosis ... , Non-infectious ... #bradycardia #Causes
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
INCREASES 8-10 BPM INFECTIOUS ... • Malaria • Leptospirosis ... OTHER CAUSES ... the most likely infection ... #differential #causes
Fever in Returning Traveler - ABCDE Mnemonic
A - Adventure - Where did the patient travel? 
B
Fever in Returning ... B - Body for syndrome ... Undifferentiated fever ... Ill Contacts Infectious ... @ID_fellows #Fever
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Causes: • Still's ... disease • Behcet's syndrome ... • Hyper-IgD syndrome ... • Leptospirosis ... • Malaria • Leptospirosis
Fever After International Travel

Infectious Disease:
• Endemic in either the destination or home region

Viral Syndromes:
Arboviral infections, a
Travel Infectious ... region Viral Syndromes ... ; dengue shock syndrome ... capillary leak syndrome ... : • Leptospirosis
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Myositis MIMICS: - Infections ... : Hantavirus infection ... other hemorrhagic fevers ... , Leptospirosis, ... Disseminated S. aureus infection