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Scrub typhus and rickettsial diseases in international travelers: a review.
Curr Infect Dis Rep. 2009 Jan; 11(1):66-72.CI

Abstract

Physicians caring for febrile returned travelers face the difficult task of recognizing the typical and atypical features of more than 16 known rickettsial diseases and separating these diseases from potentially serious nonrickettsial diseases. Currently available diagnostic tools are inadequate for timely diagnosis. This review summarizes the English-language literature concerning imported rickettsial diseases in international travelers and describes important clinical principles in diagnosis and treatment of these illnesses. -Travelers with imported rickettsial disease often become sick before or within a few days of return from an endemic region. Illness that begins more than 18 days after return is unlikely to be rickettsial in origin. The absence of a skin rash or exposure to a vector should not dissuade clinicians from considering the possibility of a rickettsial disease in a returned traveler. Finally, if empiric therapy does not result in defervescence within 48 hours, an alternative nonrickettsial illness should be strongly considered.

Authors+Show Affiliations

Division of Infectious Diseases, Box 3281, Duke University Medical Center, Durham, NC 27710, USA. ted.hendershot@duke.eduNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19094827

Citation

Hendershot, Edward F., and Daniel J. Sexton. "Scrub Typhus and Rickettsial Diseases in International Travelers: a Review." Current Infectious Disease Reports, vol. 11, no. 1, 2009, pp. 66-72.
Hendershot EF, Sexton DJ. Scrub typhus and rickettsial diseases in international travelers: a review. Current infectious disease reports. 2009;11(1):66-72.
Hendershot, E. F., & Sexton, D. J. (2009). Scrub typhus and rickettsial diseases in international travelers: a review. Current Infectious Disease Reports, 11(1), 66-72.
Hendershot EF, Sexton DJ. Scrub Typhus and Rickettsial Diseases in International Travelers: a Review. Current infectious disease reports. 2009;11(1):66-72. PubMed PMID: 19094827.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Scrub typhus and rickettsial diseases in international travelers: a review. AU - Hendershot,Edward F, AU - Sexton,Daniel J, PY - 2008/12/20/entrez PY - 2008/12/20/pubmed PY - 2008/12/20/medline SP - 66 EP - 72 JF - Current infectious disease reports VL - 11 IS - 1 N2 - Physicians caring for febrile returned travelers face the difficult task of recognizing the typical and atypical features of more than 16 known rickettsial diseases and separating these diseases from potentially serious nonrickettsial diseases. Currently available diagnostic tools are inadequate for timely diagnosis. This review summarizes the English-language literature concerning imported rickettsial diseases in international travelers and describes important clinical principles in diagnosis and treatment of these illnesses. -Travelers with imported rickettsial disease often become sick before or within a few days of return from an endemic region. Illness that begins more than 18 days after return is unlikely to be rickettsial in origin. The absence of a skin rash or exposure to a vector should not dissuade clinicians from considering the possibility of a rickettsial disease in a returned traveler. Finally, if empiric therapy does not result in defervescence within 48 hours, an alternative nonrickettsial illness should be strongly considered. SN - 1523-3847 UR - https://www.unboundmedicine.com/medline/citation/19094827/full_citation L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=19094827.ui DB - PRIME DP - Unbound Medicine ER -
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