Notice for all travelers: Ebola in DRC | Figure 1

Notice for all travelers: Ebola in DRC

Help your patients prepare for travel. The Democratic Republic of the Congo has begun exit screening at airports and key borders to help prevent the spread of Ebola to other areas. Exit screening may include checking travelers for signs and symptoms of Ebola-like illness and identifying people who may have been exposed to Ebola. Travelers should be prepared for airport exit screening before departing DRC; they should plan to arrive early and expect delays related to public health screening.

Learn more about the situation in DRC in our Ebola travel notice.

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There are reports of drug-resistant Pseudomonas aeruginosa (VIM-CRPA) infections in patients returning to the U.S. after receiving medical procedures in Tijuana, Mexico. Clinicians should be aware of the possibility of resistant infections occurring in patients who may have traveled to Tijuana, Mexico, for medical procedures and should take measures to control the spread of drug-resistant organisms.

If you are traveling to Democratic Republic of the Congo to provide medical care, your work may put you at risk of exposure to #Ebola. Discuss options for vaccination with your sponsoring organization. DRC, WHO and other partners are offering an investigational vaccine to priority populations such as frontline health care workers. A major clinical trial conducted in Guinea (2015) showed the vaccine to be highly protective against Ebola.

Clinicians- In honor of Fungal Disease Awareness Week, keep certain endemic mycoses, such as histoplasmosis, cocciodiodomycosis, and others in mind when seeing patients who have recently traveled and may have fungal infections, especially if they traveled to South or Central America. A new GeoSentinel analysis of endemic mycoses in international travelers concludes that clinician knowledge of geographic distribution and modes of transmission of endemic mycoses may help prevent infections in travelers.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?