Tuesday, February 19, 2008

Travel Medicine Can't Miss Diagnoses


Can't miss diagnoses in travel medicine.

The majority of returned travelers with health complaints have garden variety illness such as gastroenteritis and upper respiratory infections. However, health care providers need to be aware that life threatening travel-related illness also occurs. Some of the "can't miss" diagnoses in returned travelers include:

1) Falciparum malaria

2) Malaria, especially falciparum, in pregnant females

3) Viral hemorrhagic diseases, including ebola virus, marburg virus, lassa fever, and rift valley fever. Dengue shock syndrome and yellow fever can also he complicated by hemorrhagic manifestations. While the viral hemorrhagic fevers are relatively rare, the high mortality rate makes them "can't miss" diagnoses.

Further reading here:
Viral Hemorrhagic Fever

Joe Alcock MD

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