Exotic Fevers ============= þ Dengue Fever þ Yellow Fever - At least 50% of the patients entering the toxic phase of Yellow fever will die. Brillman and Danzl in EMedicine, Plantz and Adler (eds). http://www.emedicine.com/emerg/topic645.htm - One of five who are exposed develop symptoms. - The initial symptoms include fever, chills, severe headache, back pain, myalgia, nausea and prostration. These symptoms correspond to the viremic phase and are followed by transient (up to 24 hours) remission. With return of the fever comes the toxic phase of the infection. Brillman and Danzl in EMedicine, Plantz and Adler (eds). http://www.emedicine.com/emerg/topic645.htm þ Q Fever - Epidemiology + Interestingly, the presentation of acute Q fever may differ with geography. In northern Spain, pneumonia is a common finding whereas in southern Spain, hepatitis predominates. - Acute Q fever + Acute Q fever is generally a self-limited illness, and mortality from acute Q fever is low. Even patients ill enough to require hospitalization have a mortality of only 1%. - Chronic Q fever + However, chronic Q fever has a higher mortality rate (about 25%). Edlow J in EMedicine, Plantz and Adler (eds). http://www.emedicine.com/emerg/topic589.htm