Fever + exposure to endemic country
Cyclic fever only after chronic infection
Headache, cough, GI symptoms
Cyclic fever only after chronic infection
Severe
Any one of the following:
Altered mental status/coma
Severe normocytic anemia [hemoglobin < 7]
Renal failure
ARDS
Hypotension
DIC
Spontaneous bleeding
Acidosis
Hemoglobinuria
Jaundice
Hepatomegaly
Splenomegaly
Repeated generalized seizures
Parasitemia >5%
Altered mental status/coma
Severe normocytic anemia [hemoglobin < 7]
Renal failure
ARDS
Hypotension
DIC
Spontaneous bleeding
Acidosis
Hemoglobinuria
Jaundice
Hepatomegaly
Splenomegaly
Repeated generalized seizures
Parasitemia >5%
Uncomplicated
None of the above
Malaria
Normal causes of acute fever!
Chikungunya
Cholera
Dengue
Babesiosis
Leptospirosis
Typhoid fever