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Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Travelers from ... melioidosis, typhoid, pulmonary ... eosinophilia - Tropical pulmonary ... #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
Rodent-associated Bacterial infections: Leptospirosis, Rat-bite fever, Tularemia, Plague 

#rodent
#infections
#leptospirosis
#tularemia
#ratbitefever
#plague
#rats
#infectiousdisease
#fever
#differential
#diagnosis
#management
#treatment
#table
: Leptospirosis, ... Rat-bite fever, ... #rodent #infections ... #leptospirosis ... #diagnosis #management
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 Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
and bacterial infections ... Pyogenic/focal infection ... Causes: • Still's ... • Leptospirosis ... • Malaria • Leptospirosis
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
Etiologies Unusual Infections ... psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... ) - Returning travelers ... Others: - Pulmonary
Infections Rats can Transmit to Humans
Other infections not highlighted include Lassa fever, Plague, Salmonella, Tularemia etc

Rat
Infections Rats ... Humans Other infections ... include Lassa fever ... Choriomeningitis Virus - Leptospirosis ... InfectiousDiseases #Diagnosis #Management