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benefit from dedicated coursework or self-study in this Funding
area, and encourage our colleagues to remain proficient The authors received no funding relative to preparation
in the prevention, recognition, and management of these of this manuscript.
illnesses. Our role in Special Operations will inherently
bring us to areas where tropical disease is endemic and
we must be prepared for its presence. References

1. Bacaner N, Wilson M. Evaluation of the ill returned traveler.
Disclaimer Clin Fam Pract. 2005;7:805–834.
2. Lo Re V 3rd, Gluckman SJ. Fever in the returned traveler. Am
The views expressed in this article are those of the au- Fam Physician. 2003;68:1343–1350.
thors and do not necessarily reflect the official policy, 3. Berger S. Infectious diseases of the Philippines. Los Angeles,
CA: GIDEON Informatics; 2013.
position or views of the Uniformed Services University 4. Centers for Disease Control and Prevention. Guidelines for
of the Health Sciences, the Department of the Army, De- treatment of malaria in the United States. 2013. http://www
partment of Defense, or the US Government. .cdc.gov/malaria/resources/pdf/treatmenttable.pdf. Accessed 9
June 2015.
5. Longo DL, Fauci AS, Kasper DL, et al. Lyme disease and other
Disclosure nonsyphilitic spirochetal infections. In: Longo DL, Fauci AS,
Kasper DL, et al., eds. Harrison’s Manual of Medicine. 18th ed.
The authors have indicated they have no financial rela- New York, NY: McGraw-Hill Companies; 2013.
tionships relevant to this manuscript to disclose. 6. Longo DL, Fauci AS, Kasper DL, et al. Rickettsial diseases. In:
Longo DL, Fauci AS, Kasper DL, et al., eds. Harrison’s Manual
of Medicine. 18th ed. New York, NY: McGraw-Hill Compa-
nies; 2013.
7. Burnett M. Dengue infections. J Spec Oper Med. 2013;13:
64–68.
8. Centers for Disease Control and Prevention. Dengue case man-
agement guide. http://www.cdc.gov/dengue/resources/DENGUE
-clinician-guide_508.pdf. Accessed 8 September 8 2015.

Dr Downs is an internal medicine and occupational and envi-
ronmental medicine physician at the Uniformed Services Uni-
versity of the Health Sciences, Bethesda, MD. E-mail: john.
downs@us.army.mil.

Mr Biggane is a former Special Forces Medical Sergeant who
served extensively within the Asia-Pacific Theater with the 1st
Battalion, 1st Special Forces Group. Mr Biggane is currently
completing premedical studies to pursue his goal of becoming
a physician. He is located in Boston, MA.

78 Journal of Special Operations Medicine Volume 15, Edition 4/Winter 2015