II. Epidemiology
- Vector Borne Disease causes 17% of worldwide infections (in 2016)
III. Precautions
- See Fever in the Returning Traveler
- See Fever of Unknown Origin
- Consider vector borne illness in those with fever or flu-like illness in late spring and summer
- Consider travel history and potential exposures to endemic vectors (e.g. deer Tick Bites)
IV. Trasmission: U.S. Vector borne illness
-
Mosquitoes
- Dirofilariasis
- Zika Virus
- Dengue (Puerto Rico, Texas, Florida, Hawaii)
- EncephalitisArboviruses
- California (including LaCrosse) Encephalitis
- Saint Louis Encephalitis
- Eastern Equine Encephalitis
- Western equine Encephalitis
- West Nile Virus Encephalitis (most common vector-borne virus in U.S. as of 2016)
- Ticks
- See Tick Borne Illness
- Babesiosis (Babesia Microti)
- Colorado Tick Fever (Arenavirus)
- Ehrlichiosis
- Epidemic Typhus (Rickettsia canadensis)
- Lyme Disease (Borrelia Burgdorferi)
- Borrelia Miyamotoi
- Spirochete carried by Ixodes ticks (and may coinfect with Borrelia Burgdorferi)
- Causes Relapsing Fever
- Plague (Yersinia Pestis)
- Powassan Encephalitis
- Q Fever (Coxiella Burnetii)
- Relapsing Fever
- Rocky Mountain Spotted Fever (Rickettsia rickettsii)
- Only Tick Borne Illness with consistent Centripetal Rash (peripheral to central spread)
- Tularemia (Francisella Tularensis)
-
Fleas
- Murine Typhus (Rickettsia typhi)
- Plague (Yersinia Pestis)
- Dipylidiasis (ingestion of fleas)
- Flies
- Lice
- Mites
V. Transmission: Worldwide Vector Borne illnesses
- Malaria
- Schistosomiasis
-
Viral Hemorrhagic Fevers
- Dengue (most common vector-borne virus worldwide)
- Lassa Fever
- Typhus
- Rickettsial
- Rift Valley Fever
- Trypanosomiasis
- African: Sleeping sickness (Tsetse flies)
- American: Chagas Disease (Reduviid bugs)
- Yellow Fever
- Zika Virus
VI. Prevention
VII. References
- Della-Giustina, Fox and Siegel (2021) Crit Dec Emerg Med 35(4): 17-23
- Edlow (1999) Ann Emerg Med 33:680-93 [PubMed]
- Gayle (2001) Am Fam Physician 64(3):461-6 [PubMed]
- Spach (1993) N Engl J Med 329:936-47 [PubMed]
- Taege (2000) Cleve Clin J Med 67:241-9 [PubMed]