Travel History - Clues to Infectious Disease Diagnosis in a Traveler
• Where did you travel? Includes layovers, intermediate stops, urban versus rural → Geographic disease association
• How long did you stay? → Risk of malaria increases with duration
• Accommodations? → Travelers' diarrhea
• Source or drinking water → Giardia
• Ingestions?
• Raw meat → Non-typhoidal salmonella
- Seafood → Hepatitis A
- Unpasteurized dairy → Brucella, Listeria
• Exposure to fresh water? → Leptospirosis
• Rafting, kayaking. swimming → Schistosomiasis
• Skin contact with soil? → Strongyloidiasis
• Animal exposure and/or bite? → Rabies, cat scratch fever (bartonella), Simian Herpesvirus B infection
• Insect exposure and/or bite?
- Mosquito → Malaria, dengue, Chikungunya, Zika
- Tick → Rickettsia, Lyme, Anaplasma
- Fleas → Murine typhus, plaque
• Tattoo's, piercings? → Hepatitis B, Hepatitis C, HIV
• Medical care while overseas? Blood transfusion → Hepatitis B, Hepatitis C, HIV
• Sexual contact?
- Unprotected sex with a new partner → HSV, HIV, Hepatitis A/B/C, syphilis
- Commercial sex worker exposure → Gonorrhea, Chlamydia, Zika
UW IM Residency @uw_IMresidency
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