0071643192.pdf

INFECTIOUS DISEASE

TREATMENT

■ Most effective in first 4 days

■ Sensitive to multiple medications

■ Severe=penicillin (as with syphilis) or ceftriaxone

■ Mild=doxycycline (as with Lyme disease)

OTHERS

■ For other causes of fever in the traveler, see Table 8.18.

VACCINATIONS

■ See Figure 8.3 for standard immunization schedule.

■ For vaccine contraindications see Table 8.19.

■ Live vaccines

■ Give either together or >30 days apart.

■ Contraindications

■ 1° immunodeficiency (eg, HIV/AIDS with low CD4 count)

■ 2° immunodeficiency

■ High-dose corticosteroids for >14 days

■ Other immune-modulating agents (eg, chemotherapy)

■ Pregnant patients

■ Significant contacts of the above

Consider empirically covering

for leptospirosis in the traveler

presenting with aseptic

meningitis.