Fever in the Returning International Traveler Investigations after comprehensive physical examination including thorough skin examination: • Basic Labs, Malaria Smears, Blood Cultures x 2, Urinalysis Consider the following supplementary tests based on history and epidemiology: • Stool Culture, Chest XRay, Stool O&P, Dengue +- Arbovirus Empiric Management: • Consider if patient fulfills the following criteria: 1) Undifferentiated fever; AND 2) Negative malaria smears; AND 3) Patient has not improved over past 48-72 hours; AND 4) All other cultures and tests have been ordered and are pending or non-contributory • Travelled to the Indian Sub-Continent or Southeast Asia 1) Azithromycin 1 mg po daily x 5 days 2) Doxycycline 100 mg po BID x 7 days • Travelled outside the Indian Sub-Continent or Southeast Asia 1) Ciprofloxacin 500 mg po BID x 3-7 days ± 2) Doxycycline 100 mg po BID x 7 days Andrea Boggild, MD @BoggildLab #Fever #Returning #Traveler #empiric #management #workup #diagnosis #differential
