CaseIndiaTrips 2

Destination: Pondicherry

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Archive for September 5th, 2008

ID fellows, start making your differential

Posted by brianc79 on 5 September, 2008

Today, our last day of CIT2 sanctioned events in India, we went to the fever hospital.  Compared to other government hospitals we have seen where occupancy is literally at 200%, it was a quite peaceful experience.  We got to see diptheria, with a small pseudomembranous plaque, tetanus, malaria, lots of gastro, and a few undifferentiated fevers.

Let’s hear it for vaccines.

The past few days I seem to have acquired an upper respiratory infection.   Is it Bocavirus?  It’s gotten to the point that I’ve started a steroid burst just to make me feel good enough to make it home.  By my calculations, my last dose will be taken in the Frankfurt airport.

So when I get back home and develop a fever 13.5 days after returning, there’ll be a great differential.  With my chronic asthmatic cough and known exposure, could it be TB?  How about Dengue or malaria?  But wait!  I took a course of steroids–could it be related to relative immunosuppression?  How about Avian flu?  I did walk (quickly) by chickens being housed alive in the Pondicherry Market.  What if I have a little bit of a sore throat, and something that looks plaquish…diptheria?

Once again,  reaffirming that I don’t want to become an interesting patient.

This weekend, Goa.  Then a long series of flights home.

Posted in Hyderabad | Tagged: , | 4 Comments »