A Travel Medicine Case. Thomas Miller MD. Case #1. Jack called from San Francisco at 7:30 pm. “Dad I am leaving for Indonesia in 2 days. Do I need any shots before I go. What about Malaria prevention?”. Topics of Discussion. The travel consultation Travelers’ diarrhea Immunizations
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Thomas Miller MD
Jack called from San Francisco at 7:30 pm.
“Dad I am leaving for Indonesia in 2 days. Do I need any shots before I go. What about Malaria prevention?”
Ideally conducted 4 weeks prior to departure, but 2 weeks will do
Food contamination more common that water
Freedman D. N Engl J Med 2008;359:603-612
Sub-Saharan Africa 60%
Caribbean, Central and
South America 13%
Dad, Robby has had diarrhea for a week, going over 10 times per day and getting up at night. The cipro has not helped at all. He also has fevers and chills. He wonders whether he needs to come home and see a doctor. He is not having blood in his stool and he is not vomiting. He is still surfing, but it has been hard.
Footnote: Rifaximin is ineffective against campylobacter