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Fever in returned traveller/ malaria

STUDY
PLAY
Fever of returned traveller - broad strokes of history
Time course (including time course of symptoms)
Geography
Activities and exposures
Host factors
Investigations in suspected malaria
FBE: anaemia, thrombocytopaenia
UEC: elevated urea and creatinine
LFT/coags: elevated transaminases, mild coagulopathy
Thick and thin films (3 negative films, 12-24hrs apart, required to rule out malaria) - specific
P. malariae ICT
Management of uncomplicated malaria
Artemisinin combination therapies eg arthemeter/lumefantrine (Riamet)
Management of complicated malaria
IV artesumate for 24 hours, followed by a course of oral artemisin combination therapy
Top 4 causes of fever in returned traveller with <21 day incubation period
Malaria, dengue fever, enteric fever (typhoid/paratyphoid), rickettsial diseases
Top 3 causes of fever in returned traveller with >21 day incubation period
Malaria, TB, acute viral hepatitis
Top 3 most life-threatening infections causing fever in returned traveller
P falciparum malaria
Dengue
Meliodosis