Cutaneous Conditions in Febrile Returning Traveler

Aka: Cutaneous Conditions in Febrile Returning Traveler, Dermatologic Manifestations in Returning Traveler, Rash in the Febrile Traveler, Febrile Traveler with Rash

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II. Causes: Maculopapular Rash (Non-specific)

  1. Dengue Fever
  2. Viral Hemorrhagic Fever
  3. Leptospirosis
  4. Acute Human Immunodeficiency Virus Infection (HIV)
  5. Drug Sensitivity or Drug Eruption
  6. Hepatitis B Virus Infection
  7. Typhus

III. Causes: Petechiae, Ecchymoses, Hemorrhage

  1. Meningococcemia
  2. Dengue Fever
  3. Viral Hemorrhagic Fever
  4. Yellow Fever
  5. Rocky Mountain Spotted Fever
  6. Epidemic Louse-Borne Typhus
  7. Leptospirosis

IV. Causes: Assorted Dermatitis

  1. Erythema Chronicum Migrans
    1. Early Lyme Disease
  2. Rose Spots (2-3 mm pink spots on trunk)
    1. Typhoid Fever
  3. Maculopapular rash
    1. Leptospirosis
    2. Rickettsia
  4. Pustules
    1. Disseminated Gonococcal Infections
  5. Petechiae
    1. Dengue Fever
    2. Meningococcemia
    3. Viral Hemorrhagic Fever
  6. Urticaria
    1. Helminth infection
  7. Eschar (black necrotic ulcer with erythema at margin)
    1. Tick or Scrub Typhus
    2. Anthrax
    3. CCHF
    4. Rickettsial infection
  8. Ulcer
    1. Tularemia
    2. Cutaneous Diphtheria

V. References

  1. Walker (2001) HP Primary Care Medicine Lecture
  2. Feder (2013) Am Fam Physician 88(8): 524-30 [PubMed]
  3. Suh (1999) Med Clin North Am 83(4):997-1017 [PubMed]

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