Select clinical manifestations-fever in a returned traveler

  • Ebola: fever in traveler from area with active transmission of Ebola w/in 21 d
  • Malaria: nonspecific sx including diarrhea, headache, myalgias, cough, Δ MS
  • Dengue: nonspecific sx including headache, severe myalgias, rash/petechiae
  • Chikungunya: nonspecific sx including joint pain, moderate myalgias
  • Typhoid (Lancet 2015;385:1136): diarrhea/constipation, abd pain, ± rash, relative bradycardia
  • Rickettsial disease: headache, myalgias, lymphadenopathy, ± rash/eschar
  • Zika: rash, arthralgia, headache, conjunctivitis; often less severe than dengue, Chikungunya