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Fever after a stay in the tropics: clinical spectrum and outcome in HIV-infected travelers and migrants.
J Acquir Immune Defic Syndr 2008; 48(5):547-52JA

Abstract

OBJECTIVE

To investigate the epidemiology and clinical spectrum of fever in HIV-infected returning travelers and migrants.

METHODS

From April 2000 to December 2006, we explored prospectively, at our referral travel/HIV clinics, the etiology and outcome of febrile illnesses developing within 3 months after a stay in the tropics. For this study, we compared the morbidity profile between HIV-infected individuals and all other cases tested HIV negative.

RESULTS

Of the 1850 adults (15 years and older) evaluated for 1921 fever episodes, 93 (5%) had HIV infection, including 5 presenting with primary infection. HIV prevalence was 2% in western travelers or expatriates, 11% in travelers "visiting friends and relatives," and 24% in foreign visitors/migrants. Fever episodes (n = 104) occurring in the HIV-infected individuals were mainly due to opportunistic infections (23%, including tuberculosis), respiratory tract infections (20%), sexually transmitted infections (9%), and noninfectious diseases (7%). All these conditions were more frequently diagnosed than in HIV-negative travelers (1035 fever episodes), although tropical infections (mostly malaria) were proportionally less prevalent. Morbidity (rate and duration of hospitalization) was more considerable in HIV-infected patients than in HIV-negative individuals.

CONCLUSIONS

HIV infection was frequent in returning travelers and migrants presenting with fever at our setting and affected strongly the diagnostic spectrum and overall morbidity.

Authors+Show Affiliations

Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium. ebottieau@itg.beNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18645519

Citation

Bottieau, Emmanuel, et al. "Fever After a Stay in the Tropics: Clinical Spectrum and Outcome in HIV-infected Travelers and Migrants." Journal of Acquired Immune Deficiency Syndromes (1999), vol. 48, no. 5, 2008, pp. 547-52.
Bottieau E, Florence E, Clerinx J, et al. Fever after a stay in the tropics: clinical spectrum and outcome in HIV-infected travelers and migrants. J Acquir Immune Defic Syndr. 2008;48(5):547-52.
Bottieau, E., Florence, E., Clerinx, J., Vlieghe, E., Vekemans, M., Moerman, F., ... Van den Ende, J. (2008). Fever after a stay in the tropics: clinical spectrum and outcome in HIV-infected travelers and migrants. Journal of Acquired Immune Deficiency Syndromes (1999), 48(5), pp. 547-52. doi:10.1097/QAI.0b013e31817bebc5.
Bottieau E, et al. Fever After a Stay in the Tropics: Clinical Spectrum and Outcome in HIV-infected Travelers and Migrants. J Acquir Immune Defic Syndr. 2008 Aug 15;48(5):547-52. PubMed PMID: 18645519.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fever after a stay in the tropics: clinical spectrum and outcome in HIV-infected travelers and migrants. AU - Bottieau,Emmanuel, AU - Florence,Eric, AU - Clerinx,Jan, AU - Vlieghe,Erika, AU - Vekemans,Marc, AU - Moerman,Filip, AU - Lynen,Lut, AU - Colebunders,Robert, AU - Van Gompel,Alfons, AU - Van den Ende,Jef, PY - 2008/7/23/pubmed PY - 2008/9/5/medline PY - 2008/7/23/entrez SP - 547 EP - 52 JF - Journal of acquired immune deficiency syndromes (1999) JO - J. Acquir. Immune Defic. Syndr. VL - 48 IS - 5 N2 - OBJECTIVE: To investigate the epidemiology and clinical spectrum of fever in HIV-infected returning travelers and migrants. METHODS: From April 2000 to December 2006, we explored prospectively, at our referral travel/HIV clinics, the etiology and outcome of febrile illnesses developing within 3 months after a stay in the tropics. For this study, we compared the morbidity profile between HIV-infected individuals and all other cases tested HIV negative. RESULTS: Of the 1850 adults (15 years and older) evaluated for 1921 fever episodes, 93 (5%) had HIV infection, including 5 presenting with primary infection. HIV prevalence was 2% in western travelers or expatriates, 11% in travelers "visiting friends and relatives," and 24% in foreign visitors/migrants. Fever episodes (n = 104) occurring in the HIV-infected individuals were mainly due to opportunistic infections (23%, including tuberculosis), respiratory tract infections (20%), sexually transmitted infections (9%), and noninfectious diseases (7%). All these conditions were more frequently diagnosed than in HIV-negative travelers (1035 fever episodes), although tropical infections (mostly malaria) were proportionally less prevalent. Morbidity (rate and duration of hospitalization) was more considerable in HIV-infected patients than in HIV-negative individuals. CONCLUSIONS: HIV infection was frequent in returning travelers and migrants presenting with fever at our setting and affected strongly the diagnostic spectrum and overall morbidity. SN - 1525-4135 UR - https://www.unboundmedicine.com/medline/citation/18645519/Fever_after_a_stay_in_the_tropics:_clinical_spectrum_and_outcome_in_HIV_infected_travelers_and_migrants_ L2 - http://dx.doi.org/10.1097/QAI.0b013e31817bebc5 DB - PRIME DP - Unbound Medicine ER -