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Travel History - Clues to Infectious Disease Diagnosis in a Traveler • Where did you
Travel History - ... Clues to Infectious ... → Leptospirosis ... Herpesvirus B infection ... InfectiousDiseases #Infections
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
Fever in Returning Travelers ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... Fever #Returning #Traveler ... diagnosis #tropical #travel
Fever in the Returning Traveler - History Exposure History: • Street foods / Local water: entenc fever,
the Returning Traveler ... entenc fever, travellers ... tattoos, piercings, injections ... schistosomiasis, leptospirosis ... days: malaria, travellers
Non-Resolving Pneumonias: Etiologies Unusual Infections: - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia) - Endemic Fungi (e.g.: Histoplasmosis,
Etiologies Unusual Infections ... psittaci/avian, leptospirosis ... ) - Returning travelers ... Others: - Pulmonary ... abnormalities (Pulmonary
Rapidly Growing Mycobacterial Infections • Mycobacterium abscessus - Is the most pathogenic and the most likely
Mycobacterial Infections ... most likely to cause ... pulmonary infection ... It can also cause ... Reported cases associated
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 ... fever • Non-Infectious
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 ... CAUSES • Legionella ... • Malaria • Leptospirosis ... • Fever OTHER CAUSES ... the most likely infection
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis 90%: -
Pulmonary Renal ... Myositis MIMICS: - Infections ... : Hantavirus infection ... hemorrhagic fevers, Leptospirosis ... Kumfer @AnnKumfer #Pulmonary
Causes of Relative Bradycardia - Note the propensity for intracellular organisms. Infectious: Legionella, Psittacosis, Q fever, Typhoid
Causes of Relative ... Infectious: Legionella ... Babesiosis, Malaria, Leptospirosis ... spotted fever, Non-infectious ... #bradycardia #Causes
IDSA Recommendations for Preventing and Treating Bacterial Enteric Infections in HIV-AIDS Preventing Bacterial Enteric Illness: • Antimicrobial
Bacterial Enteric Infections ... • In rare cases ... the region of travel ... Clostridium difficile Infection ... opportunistic #infections
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