3-34
- Treat for Rickettsial Infection
- Consider Typhoid Treatment
- Consider Scarlet Fever if Pharyngitis
- Consider Syphilis if Genital Ulcer
- Consider Dengue
- Consider Schistosomiasis if
swimming history
- Consider Schistosomiasis if
Diarrhea
YES
Tender or Draining
Lymph Node
Fecal Leukocytes?
NO YES
- Oral rehydration
- Peptobismol or
Loperamide- Oral rehydration
- Peptobismol or
- Avoid Loperamide
- Give Ciprofloxacin or
Azithromycin - If no response try
Metronidazole for
possible
Pseudomembranous
Colitis (antibiotic
associated Colitis) - If no response
consider parasites - Check 0 & P
- Give Ciprofloxacin or
Azithromycin
NO YES
- Obtain more Malaria smears
- Repeat blood count
- CXR
- Repeat blood count
- May treat as Malaria if exposed
- Consider TB, Rickettsial infection,
Brucellosis, Enteric fever and treat
appropriately - In absence of specific diagnosis
observe closely, refer to care where
other diagnostic capabilities available - Consider Plague
- Aspirate Node for Gram Stain
- Blood Count
- Obtain CXR - Isolate if abnormal
- Give plague treatment with
Gentamicin or Ciprofloxacin - Consider Anti Staphylococcal
Antibiotic (Dicloxacillin) as well - Consider Cat Scratch Disease
NO
Modified by COL Naomi Aronson, MC, USA from an algorithm by Col Robert Gasser, Jr., USAF, MC