NEPAL INTERNATIONAL CLINIC
Travel and Mountain Medicine Center

Typhoid Fever and Typhus

Typhoid Fever Incubation period: 3-30 days. Patient looks very toxic. In Nepal, fever that persists for over four, five days has a good chance of being typhoid fever, especially if the patient has had no vaccination for typhoid fever. Treatment is with azithromycin or gatifloxacin (for young non diabetic patients). Most patients respond well to [...]

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Skin Infections

Bacterial Skin Infections ( Impetigo Cellulitis ) These can be quite painful but usually respond to antibiotics. Sometimes incision and drainage of the infection may be required. Hot soaks are always helpful. Insect Bite Reactions Mosquitos, Bed bugs, Fleas, Lice and Ticks. Besides carrying specific diseases some of these bites can sometimes causes skin reaction [...]

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Meningitis

Meningococcal meningitis is also an aerosol borne bacterial infection. There was an epidemic in Nepal in 1983. Vaccination apparently has played a role in controlling this problem now. In meningitis there is inflammation of the covering of the brain (i.e. the meninges). Intravenous antibiotic may save lives.The disease can be rapidly fatal.

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Mosquito Bourne Diseases

Malaria Incubation period 1 to 3 weeks. There is no malaria in Kathmandu Valley or in the usual tourist trekking routes. There is malaria in the Chitwan National Park. There are four types of malaria but only one (vivax ) is common in Nepal. Prophylaxis is important for the Terai Area. If you are going [...]

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Leptospirosis

This is an important cause of fever. It may be caused by the lepto organism entering the body through an abrasion. Doxycycline is the drug of choice.

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Hepatitis

Hepatitis A The incubation period is 2-6 weeks. Children have relatively mild attack. Patients are significantly more infectious before malaise and jaundice set in. One attack of hepatitis A provides life long immunity and no hepatitis A vaccination is required. There is no long term sequelae with Hepatitis A, but as an adult life can [...]

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Diarrhoeal Diseases in Nepal

Bacterial Diarrhoea This is the most common cause of diarrhoea. Some Western textbooks and guide books are forever saying this is self limiting and may not require treatment. This has not been our experience. Treatment seems warranted more often than these books would suggest. A simple stool test may confirm the finding. Remember that treatment [...]

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Airbourne Infections

Upper Respiratory Infection Bronchitis and Asthma Pneumonia Sinusitis and Middle Ear Infection Meningitis These are common infections in Nepal, and may require antibiotics. Some people suffer from asthma problems (hyper reactive airways) more frequently in Nepal. The cough and difficulty in breathing seems to get worse at night. Treatment with a bronchodilator inhaler (locally called [...]

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