DDx for fever in returning traveler (from DR) w/o localizing symptoms: Vector borne - Zika, Chikungunya, malaria (more likely in traveler from Asia or Africa), dengue. Others - TB, acute HIV, non-infectious causes.
Posted 07/11/17 09:23:05 AM by Emily Miller
Ixodes tick (deer tick) - vector for anaplasma, Lyme, Babesia. Very small tick, bites often missed by patients.
Posted 07/11/17 09:23:51 AM by Emily Miller
Doxycycline will treat most tick borne illnesses (Anaplasma, Lyme, RMSF), but NOT Babesia. Treatment options for Babesia are Clindamycin/quinine or Atovaqone/azithromycin.
Posted 07/11/17 09:25:24 AM by Emily Miller
Created by Christopher Kelly
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