CHEST 2023 On Demand Pass-You Did What Where? ‚Äì Evaluating the Critically Ill Febrile Traveler

Video Transcription

Video Summary

Three cases were presented in the video. In the first case, a 21-year-old man presented with fever, chills, dyspnea, headache, hemoptysis, and a rash, following travel to the Pacific. His condition rapidly worsened and he was admitted to the intensive care unit. His chest CT showed ground glass opacification and he had hepatosplenomegaly. He was later diagnosed with leptospirosis, a zoonotic disease that is transmitted through contact with infected animal urine. In the second case, a 61-year-old man presented with fever, nausea, vomiting, and a mild truncal rash after returning from a trip to Argentina. His chest x-ray showed bilateral lower lobe ground glass opacities. He was later diagnosed with hantavirus pulmonary syndrome, a severe respiratory disease caused by hantaviruses found in rodents. In the third case, a 52-year-old woman from Australia presented with fever, night sweats, weight loss, and a cough. Her chest x-ray showed a cavitary lung lesion. She was later diagnosed with melioidosis, an environmental pathogen caused by Burkholderia pseudomallei. The cases highlight the importance of considering travel history and environmental exposures when evaluating patients with fever and respiratory symptoms. The appropriate treatment for each condition depends on the specific pathogen involved.

Meta Tag

Category Chest Infections

Session ID 1101

Speaker Kelly Cawcutt

Speaker Gavin Harris

Speaker Michael Kavanaugh

Speaker Ryan Maves

Speaker Stella Ogake

Speaker Anna Rozaliyani

Track Chest Infections

Keywords

fever

chills

dyspnea

rash

ground glass opacification

hepatosplenomegaly

leptospirosis

hantavirus pulmonary syndrome

melioidosis

travel history