At noon report we discussed how the constellation of recent travel to the Caribbean, mosquito bites, fever, intractable headache, hematuria, and pulmonary infiltrates may have been a case of Dengue Fever.
Here are some learning points:
Illness Script for Dengue Fever: Caused by a virus with a mosquito vector epidemic to the Carribean, South and Central America, and Asia. It causes a wide range of symptoms including fever, headache, retro-orbital pain, muscle and joint pain, rash, and fatigue, with or without minor spontaneous bleeding manifestations
Diagnosing Dengue Fever: Serologic testing results will depend on the day of the illness:
And finally, the article that walks through a seemingly complicated though very helpful chart of the Approach to Fever in the Returning Traveler, NEJM 2017