Altered Mental Status in Febrile Returning Traveler


Altered Mental Status in Febrile Returning Traveler, Seizures in Febrile Returning Traveler, Neurologic Findings in the Febrile Returning Traveler

  • Precautions
  1. Altered Level of Consciousness in a returning febrile patient is a medical emergency
    1. Consider cerebral Malaria
    2. Consider Hemorrhagic Shock
  • Causes
  • Seizures in febrile travelers
  1. See Seizure Causes
  2. Uncommon causes in casual travelers (but common in local residents of endemic areas worldwide)
    1. Neurocysticercosis
    2. Schistosomiasis
  3. Fever, Diarrhea and Seizures
    1. Shigellosis
  4. Other causes (based on travel locations)
    1. Japanese Encephalitis
    2. Dengue Hemorrhagic Fever
    3. Cerebral Malaria
  • Differential Diagnosis