Friday, October 29, 2010

case:Nigeria

37 year old Nigerian Man is going to Nigeria for 3 weeks and leaves in 5 days.
History of thymus surgery
history of seizures
no vaccine record
no medications
allergy itching after taking chloroquine

tip:
VFR
immune system problem, cannot use live vaccine.
seizures:Mefloquine is contraindicated for use by travelers  with active depression, a recent history of depression, generalized anxiety disorder, psychosis, schizophrenia, other major psychiatric disorders, or seizures.

itching is not an allergy symptom.

Vaccine:
HepA, Flu, typhoid(injection), MCV4, IPV
Malaria?
Malarone
Diarrhea?
ciprofloxacin
 Others
insect repellent
rabies

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