Tags

Type your tag names separated by a space and hit enter

Management of travelers with fever and exanthema, notably dengue and chikungunya infections.
Am J Trop Med Hyg. 2008 May; 78(5):710-3.AJ

Abstract

Febrile exanthema frequently presents as an acute condition in travelers. Sixty-two travelers who presented with febrile exanthema were prospectively included over a 20-month period. Diagnostic tests were performed according to clinical presentation and risk exposures. Symptoms occurred after return in 56% of these travelers, and the median interval between return and symptom onset was 2 days. The 3 main travel destinations were the Indian Ocean (35%), Africa (21%), and Asia (18%). The 3 main etiologies were chikungunya (35%), dengue (26%), and African tick bite fever (ATBF) (10%). Travel to the Indian Ocean and South Africa was significantly associated with respectively chikungunya and ATBF. Arthralgias were significantly more frequent in chikungunya than in dengue, whereas leucopenia, neutropenia, and thrombopenia were significantly more frequent in dengue. Travelers presenting with febrile exanthema should therefore be screened for arboviral infections according to the area visited.

Authors+Show Affiliations

Department of Infectious and Tropical Disease, Hôpital Pitié-Salpêtrière, Paris, France. p.hochedez@free.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18458301

Citation

Hochedez, Patrick, et al. "Management of Travelers With Fever and Exanthema, Notably Dengue and Chikungunya Infections." The American Journal of Tropical Medicine and Hygiene, vol. 78, no. 5, 2008, pp. 710-3.
Hochedez P, Canestri A, Guihot A, et al. Management of travelers with fever and exanthema, notably dengue and chikungunya infections. Am J Trop Med Hyg. 2008;78(5):710-3.
Hochedez, P., Canestri, A., Guihot, A., Brichler, S., Bricaire, F., & Caumes, E. (2008). Management of travelers with fever and exanthema, notably dengue and chikungunya infections. The American Journal of Tropical Medicine and Hygiene, 78(5), 710-3.
Hochedez P, et al. Management of Travelers With Fever and Exanthema, Notably Dengue and Chikungunya Infections. Am J Trop Med Hyg. 2008;78(5):710-3. PubMed PMID: 18458301.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of travelers with fever and exanthema, notably dengue and chikungunya infections. AU - Hochedez,Patrick, AU - Canestri,Ana, AU - Guihot,Amélie, AU - Brichler,Ségolène, AU - Bricaire,François, AU - Caumes,Eric, PY - 2008/5/7/pubmed PY - 2008/8/2/medline PY - 2008/5/7/entrez SP - 710 EP - 3 JF - The American journal of tropical medicine and hygiene JO - Am J Trop Med Hyg VL - 78 IS - 5 N2 - Febrile exanthema frequently presents as an acute condition in travelers. Sixty-two travelers who presented with febrile exanthema were prospectively included over a 20-month period. Diagnostic tests were performed according to clinical presentation and risk exposures. Symptoms occurred after return in 56% of these travelers, and the median interval between return and symptom onset was 2 days. The 3 main travel destinations were the Indian Ocean (35%), Africa (21%), and Asia (18%). The 3 main etiologies were chikungunya (35%), dengue (26%), and African tick bite fever (ATBF) (10%). Travel to the Indian Ocean and South Africa was significantly associated with respectively chikungunya and ATBF. Arthralgias were significantly more frequent in chikungunya than in dengue, whereas leucopenia, neutropenia, and thrombopenia were significantly more frequent in dengue. Travelers presenting with febrile exanthema should therefore be screened for arboviral infections according to the area visited. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/18458301/Management_of_travelers_with_fever_and_exanthema_notably_dengue_and_chikungunya_infections_ L2 - http://www.ajtmh.org/cgi/pmidlookup?view=long&pmid=18458301 DB - PRIME DP - Unbound Medicine ER -