Travel history in a returning traveller with neurological disorder
| Detailed itinerary. Include stopovers. Multiple holidays. Apart from tropics ask about breaks to Europe | See case 3 |
| Medical history | HIV, cancer, diabetes mellitus, post-transplant, splenectomy |
| Drugs | Corticosteroids, antibiotics (partially treated infection), immunosuppressants |
| Vaccinations and malaria prophylaxis | Do not protect completely |
| Undercooked meat, cheese, unclean water, unpasteurised milk, poor hygiene (faecal-oral), raw fish, amphibians, snakes | Hepatitis E, toxoplasmosis, listeria, Campylobacter jejuni, brucellosis, neurocysticercosis, gnathostomiasis, angiostrongyliasis, sparganosis |
| Fresh water exposure (swimming, rafting, floods) | Schistosomiasis, leptospirosis |
| Injections, transfusions, intravenous drug users, tattoos | HIV, hepatitis B and C, malaria |
| Sexual contacts | HIV, hepatitis A, B, C, syphilis, Zika, herpes infections |
| Mosquito bites | Malaria, dengue fever, chikungunya, Zika, Japanese B, West Nile virus, Rift Valley fever |
| Tick bites | Borrelia, tickborne encephalitis |
| Flies | Trypanosomiasis |
| Animal bites | Rabies, cat-scratch fever |
| Visiting relatives and friends | Tuberculosis |
| Skin contact with soil | Melioidosis, botulism |