GI Conditions in Febrile Returning Traveler

Aka: GI Conditions in Febrile Returning Traveler, Gastrointestinal Disease in Returning Traveler

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II. Causes: Fever and Diarrhea

  1. See Traveler's Diarrhea
  2. See Food-borne Diarrheal Infection
  3. See Water-borne Diarrheal Infection
  4. Consider Malaria if concurrent systemic symptoms
  5. Watery Diarrhea
    1. Enterotoxigenic Escherichia coli
    2. Cryptosporidiosis
    3. Giardiasis
    4. Cholera
    5. Rotavirus
  6. Dysentery syndromes (bloody Diarrhea, high fever)
    1. Enterohemorrhagic Escherichia coli
    2. Enteroinvasive Escherichia coli
    3. Shigella (also causes Seizures)
    4. Salmonella
    5. Campylobacter
    6. Yersinia
    7. Amebic colitis
    8. Cyclosporiasis
    9. Disseminated Strongyloides

III. Causes: Fever and Jaundice

  1. Viral Hepatitis
  2. Severe Malaria
  3. Typhoid Fever
  4. Typhus
  5. Leptospirosis
  6. Yellow Fever
  7. Viral Hemorrhagic Fever (e.g. Dengue Fever)
  8. Visceral Leishmaniasis (kala-azar)

IV. Causes: Fever and Splenomegaly

  1. Malaria
  2. Visceral Leishmaniasis
  3. Trypanosomiasis
  4. Viral Hemorrhagic Fever (e.g. Dengue Fever)
  5. Amoebic Liver Abscess
  6. Enteric Fever
  7. Leptospirosis
  8. Typhus
  9. Typhoid Fever
  10. Brucellosis
  11. Mononucleosis

V. Causes: Fever and Abdominal Pain

  1. Viral Hemorrhagic Fever (e.g. Dengue Fever)
  2. Brucellosis
  3. Enteric Fever

VI. Causes: Fever, Hepatitis And Eosinophilia (esp. with pulmonary symptoms)

  1. Fasciola hepatic (common liver fluke)
  2. Visceral Larva Migrans
  3. Migrating Ascaris lumbricoides (Giant roundworm)

VII. References

  1. Walker (2001) HP Primary Care Medicine Lecture
  2. Suh (1999) Med Clin North Am 83(4):997-1017 [PubMed]

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